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General NPI Number Information
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NPI Number | 1164122586
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Entity Type | Individual
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Provider Name | CHELSEY SMITH APRN
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Gender | Female
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Dates
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Enumeration Date | 03/06/2023
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 5352 N HABANA AVE
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City | TAMPA
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State | FL
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Zip | 33614-6838
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Country | US
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Telephone | 813-448-6820
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Fax |
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Provider Business Mailing Address
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Address Line | 1282 FRUITLAND AVE
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City | CLEARWATER
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State | FL
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Zip | 33764-4954
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Country | US
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Telephone | 727-686-1360
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11024848
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License Number State | FL
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