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General NPI Number Information
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NPI Number | 1285254391
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Entity Type | Organization
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Legal Business Name | CHELSEA MEDICAL CENTER, LLC
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Dates
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Enumeration Date | 04/17/2020
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Last Update Date | 04/17/2020
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Provider Practice Location Address
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Address Line | 6600 MCKINNEY RANCH PKWY APT 12204
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City | MCKINNEY
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State | TX
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Zip | 75070-8453
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Country | US
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Telephone | 214-694-6420
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Fax |
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Provider Business Mailing Address
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Address Line | 2108 DALLAS PKWY STE 214 BOX 585
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City | PLANO
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State | TX
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Zip | 75093-4362
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Country | US
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Telephone | 214-694-3420
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. CHELSEA EDWARDS
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Credential | MS, APRN, FNP-C
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Telephone | 214-694-6420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | NULL
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