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General NPI Number Information
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NPI Number | 1396159505
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Entity Type | Individual
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Provider Name | CHELSAE ANNE NUGENT
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Gender | Female
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Dates
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Enumeration Date | 06/16/2014
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Last Update Date | 11/03/2024
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Provider Practice Location Address
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Address Line | 500 S PRESTON ST RM 305
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City | LOUISVILLE
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State | KY
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Zip | 40202-1702
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Country | US
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Telephone | 502-548-9475
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 94670
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City | OKLAHOMA CITY
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State | OK
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Zip | 73143-4670
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Country | US
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Telephone | 405-682-3303
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Fax | 405-793-8993
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 3008614
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License Number State | KY
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Taxonomy #2
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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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