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General NPI Number Information
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NPI Number | 1427677145
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Entity Type | Individual
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Provider Name | CHELSIE NICOLE HOLLAS MD, MPH
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Gender | Female
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Dates
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Enumeration Date | 04/13/2020
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 6800 NW 39TH EXPY
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City | BETHANY
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State | OK
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Zip | 73008-2513
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Country | US
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Telephone | 405-789-6711
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Fax |
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Provider Business Mailing Address
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Address Line | 6800 NW 39TH EXPY
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City | BETHANY
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State | OK
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Zip | 73008-2513
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Country | US
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Telephone |
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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 | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | PTL4292
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | 38502
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | DR.0073592
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License Number State | CO
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