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General NPI Number Information
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NPI Number | 1013509421
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Entity Type | Individual
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Provider Name | CHELSEA TAYLOR COMEAU PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 02/07/2021
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 4100 WELL SPRING DR
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City | GREENSBORO
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State | NC
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Zip | 27410-8857
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Country | US
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Telephone | 336-545-5416
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Fax |
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Provider Business Mailing Address
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Address Line | 4803 FOX CHASE RD
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City | GREENSBORO
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State | NC
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Zip | 27410-2517
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Country | US
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Telephone | 405-637-7509
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P20171
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License Number State | NC
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