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General NPI Number Information
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NPI Number | 1477452027
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Entity Type | Individual
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Provider Name | CHELSEA MARBLE MA CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 6520 MERCANTILE WAY STE 1
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City | LANSING
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State | MI
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Zip | 48911-6957
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Country | US
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Telephone | 517-244-1430
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Fax |
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Provider Business Mailing Address
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Address Line | 2102 LAC DU MONT APT B1
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City | HASLETT
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State | MI
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Zip | 48840-9518
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Country | US
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Telephone | 517-525-9032
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 7101003641
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License Number State | MI
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