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General NPI Number Information
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NPI Number | 1316354525
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Entity Type | Individual
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Provider Name | CHELSEA WARNER LLMSW
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Gender | Female
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Dates
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Enumeration Date | 07/20/2014
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Last Update Date | 07/20/2014
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Provider Practice Location Address
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Address Line | 1685 BALDWIN AVE SUITE A
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City | PONTIAC
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State | MI
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Zip | 48340-1115
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Country | US
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Telephone | 248-706-3450
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Fax |
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Provider Business Mailing Address
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Address Line | 356 PINE CREEK CT
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City | WATERFORD
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State | MI
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Zip | 48327-1586
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Country | US
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Telephone | 248-310-0946
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801096898
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License Number State | MI
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