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General NPI Number Information
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NPI Number | 1144549585
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Entity Type | Individual
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Provider Name | JUSTINE SEVER CHILELLI D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/25/2010
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 525 W 5TH ST STE 219
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City | COVINGTON
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State | KY
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Zip | 41011-1293
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Country | US
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Telephone | 859-261-8768
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Fax | 859-291-2431
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Provider Business Mailing Address
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Address Line | 200 HOME RD
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City | COVINGTON
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State | KY
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Zip | 41011-1942
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Country | US
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Telephone | 592-618-7688
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Fax | 859-291-2431
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 04202
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | OS11580
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 04202
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License Number State | KY
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