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General NPI Number Information
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NPI Number | 1487120333
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Entity Type | Individual
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Provider Name | CHELSEA F MITCHELL COSMETOLOGISTS
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Gender | Female
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Dates
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Enumeration Date | 10/18/2018
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Last Update Date | 10/18/2018
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Provider Practice Location Address
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Address Line | 3231 SUPERIOR LN STE A21
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City | BOWIE
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State | MD
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Zip | 20715-1934
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Country | US
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Telephone | 703-973-7146
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Fax |
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Provider Business Mailing Address
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Address Line | 12138 CENTRAL AVE # 221
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City | BOWIE
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State | MD
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Zip | 20721-1910
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Country | US
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Telephone | 703-973-9146
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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 | 305S00000X
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Taxonomy Name | Point of Service
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License Number | 442760
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License Number State | MD
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