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General NPI Number Information
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NPI Number | 1003210386
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Entity Type | Individual
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Provider Name | CHELSIA MICHELLE DURKEE ACSW
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Gender | Female
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Dates
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Enumeration Date | 10/15/2014
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Last Update Date | 10/27/2014
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Provider Practice Location Address
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Address Line | 1007 N LAKE AVE
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City | PASADENA
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State | CA
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Zip | 91104-4521
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Country | US
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Telephone | 626-808-9749
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Fax |
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Provider Business Mailing Address
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Address Line | 1030 W HUNTINGTON DR APT 24
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City | ARCADIA
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State | CA
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Zip | 91007-8850
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Country | US
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Telephone | 510-407-4720
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | ASW63149
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License Number State | CA
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