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General NPI Number Information
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NPI Number | 1467900944
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Entity Type | Individual
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Provider Name | CHELSEA GRAY PHARM D
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Gender | Female
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Dates
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Enumeration Date | 09/14/2016
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Last Update Date | 09/14/2016
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Provider Practice Location Address
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Address Line | 154 CURRY CREEK DR
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City | CALHOUN
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State | LA
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Zip | 71225-7942
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Country | US
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Telephone | 318-381-6845
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Fax |
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Provider Business Mailing Address
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Address Line | 154 CURRY CREEK DRIVE
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City | CALHOUN
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State | LA
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Zip | 71225
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Country | US
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Telephone | 318-381-6845
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 021743
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License Number State | LA
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