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General NPI Number Information
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NPI Number | 1073401378
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Entity Type | Individual
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Provider Name | CHELSEA FULLER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 1360 DOLWICK DR STE 225
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City | ERLANGER
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State | KY
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Zip | 41018-3233
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Country | US
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Telephone | 859-655-9363
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Fax |
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Provider Business Mailing Address
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Address Line | 165 BRECKENRIDGE DR
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City | ALEXANDRIA
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State | KY
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Zip | 41001-1145
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Country | US
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Telephone |
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 023578
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License Number State | KY
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