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General NPI Number Information
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NPI Number | 1376735258
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Entity Type | Individual
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Provider Name | CHELSEA MARIE SWANSON
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Gender | Female
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 09/08/2011
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Provider Practice Location Address
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Address Line | 1801 HICKMAN RD
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City | DES MOINES
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State | IA
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Zip | 50314-1505
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Country | US
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Telephone | 515-282-5621
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Fax | 515-282-3618
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Provider Business Mailing Address
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Address Line | 9827 MAPLE GROVE PKWY N
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City | MAPLE GROVE
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State | MN
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Zip | 55369-4491
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Country | US
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Telephone | 952-993-5900
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Fax | 952-993-0116
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 8763
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 004078
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License Number State | IA
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