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General NPI Number Information
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NPI Number | 1265689665
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Entity Type | Individual
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Provider Name | CHELSEA S HENSON N.P.
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Gender | Female
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Dates
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Enumeration Date | 08/27/2008
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Last Update Date | 04/16/2019
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Provider Practice Location Address
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Address Line | 980 JOHNSON FERRY RD STE 660
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City | ATLANTA
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State | GA
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Zip | 30342-1608
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Country | US
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Telephone | 404-847-1580
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Fax | 404-303-2015
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Provider Business Mailing Address
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Address Line | 3842 JACKS CREEK RD NW
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City | MONROE
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State | GA
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Zip | 30655-5348
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Country | US
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Telephone | 770-355-1829
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | RN122848
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License Number State | GA
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