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General NPI Number Information
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NPI Number | 1144603119
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Entity Type | Individual
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Provider Name | CHELSEA PHELPS NP-C
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Gender | Female
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Dates
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Enumeration Date | 07/08/2015
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Last Update Date | 07/11/2015
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Provider Practice Location Address
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Address Line | 3801 BLUE PKWY
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City | KANSAS CITY
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State | MO
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Zip | 64130-2807
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Country | US
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Telephone | 816-923-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 19500 E 8TH STREET CT S
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City | INDEPENDENCE
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State | MO
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Zip | 64056-3093
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2011008778
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2015023424
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License Number State | MO
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