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General NPI Number Information
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NPI Number | 1285447797
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Entity Type | Individual
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Provider Name | CHELSEA M GEDDES CHW
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Gender | Female
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 43800 GARFIELD RD STE 200
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-1136
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Country | US
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Telephone | 586-251-3210
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Fax |
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Provider Business Mailing Address
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Address Line | 25687 DODGE ST
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City | ROSEVILLE
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State | MI
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Zip | 48066-3730
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Country | US
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Telephone | 586-251-3210
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | G320115586851
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License Number State | MI
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