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General NPI Number Information
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NPI Number | 1205211166
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Entity Type | Individual
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Provider Name | CHELSEA BEST LAT, ATC, FMS
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Gender | Female
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Dates
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Enumeration Date | 07/21/2015
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Last Update Date | 07/21/2015
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Provider Practice Location Address
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Address Line | 200 PETTINARO DR APT G6
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City | ELKTON
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State | MD
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Zip | 21921-1559
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Country | US
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Telephone | 917-757-0587
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Fax |
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Provider Business Mailing Address
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Address Line | 200 PETTINARO DR APT G6
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City | ELKTON
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State | MD
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Zip | 21921-1559
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Country | US
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Telephone | 917-757-0587
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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 | 2083S0010X
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Taxonomy Name | Sports Medicine (Preventive Medicine) Physician
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License Number | J3-0000533
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License Number State | DE
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