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General NPI Number Information
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NPI Number | 1124654124
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Entity Type | Individual
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Provider Name | CHELSEA ANN STRAUGHN DMD
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Gender | Female
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Dates
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Enumeration Date | 03/21/2020
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 609 E MONROE AVE
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City | ALEXANDRIA
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State | VA
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Zip | 22301-3020
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Country | US
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Telephone | 703-307-9533
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Fax |
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Provider Business Mailing Address
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Address Line | 4613 KIRKLAND PL
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City | ALEXANDRIA
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State | VA
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Zip | 22311-4961
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Country | US
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Telephone | 703-307-9533
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 0401418590
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License Number State | VA
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