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General NPI Number Information
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NPI Number | 1093370009
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Entity Type | Individual
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Provider Name | CHELSI MARIE MCELRATH LSW
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Gender | Female
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Dates
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Enumeration Date | 05/06/2019
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Last Update Date | 05/06/2019
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Provider Practice Location Address
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Address Line | 825 GRANDVIEW AVE
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City | COLUMBUS
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State | OH
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Zip | 43215-1123
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Country | US
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Telephone | 614-285-3754
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Fax |
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Provider Business Mailing Address
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Address Line | 830 4TH ST APT 5
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City | BOWLING GREEN
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State | OH
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Zip | 43402-4134
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Country | US
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Telephone | 937-304-2305
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S1903468
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License Number State | OH
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