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General NPI Number Information
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NPI Number | 1093586711
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Entity Type | Individual
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Provider Name | CHELSEY LYNN WHITE RN, CLC
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Gender | Female
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Dates
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Enumeration Date | 01/11/2024
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Last Update Date | 01/11/2024
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Provider Practice Location Address
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Address Line | 158 HOSPITAL DR
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City | CARTHAGE
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State | TN
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Zip | 37030-1083
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Country | US
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Telephone | 615-735-1560
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Fax | 615-735-5323
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Provider Business Mailing Address
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Address Line | 214 WILBURN HOLLOW RD
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City | RIDDLETON
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State | TN
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Zip | 37151-2205
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Country | US
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Telephone | 615-489-5412
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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 | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | RN0000172235
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License Number State | TN
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