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General NPI Number Information
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NPI Number | 1306570577
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Entity Type | Individual
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Provider Name | CHELSEA BENEDICT BA
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Gender | Female
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Dates
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Enumeration Date | 07/13/2022
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Last Update Date | 07/13/2022
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Provider Practice Location Address
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Address Line | 420 W 5TH AVE
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City | FLINT
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State | MI
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Zip | 48503-2445
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Country | US
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Telephone | 810-348-7263
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Fax |
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Provider Business Mailing Address
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Address Line | 5517 MAPLE PARK DR
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City | FLINT
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State | MI
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Zip | 48507-3904
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Country | US
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Telephone | 810-964-6401
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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