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General NPI Number Information
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NPI Number | 1093089849
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Entity Type | Individual
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Provider Name | CHELSEA MARY PATOW LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/25/2012
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Last Update Date | 07/31/2020
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Provider Practice Location Address
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Address Line | 3161 E WARM SPRINGS RD STE 300
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City | LAS VEGAS
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State | NV
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Zip | 89120-3144
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Country | US
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Telephone | 702-750-6225
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Fax | 844-965-9650
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Provider Business Mailing Address
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Address Line | 3450 ERVA ST APT 135
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City | LAS VEGAS
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State | NV
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Zip | 89117-6316
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Country | US
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Telephone | 702-750-6225
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 8167-C
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License Number State | NV
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