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General NPI Number Information
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NPI Number | 1235564816
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Entity Type | Individual
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Provider Name | CHELSEA ANNE HARTMANN PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/13/2013
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Last Update Date | 02/04/2022
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Provider Practice Location Address
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Address Line | 1524 S COMMERCIAL ST STE 2N
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City | NEENAH
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State | WI
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Zip | 54956-4999
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Country | US
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Telephone | 844-547-4343
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1050
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City | NEENAH
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State | WI
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Zip | 54957-1050
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Country | US
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Telephone | 844-547-4343
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 3178-23
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License Number State | WI
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