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General NPI Number Information
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NPI Number | 1508422700
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Entity Type | Organization
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Legal Business Name | CHELSEA E SMITH LLC
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Dates
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Enumeration Date | 05/13/2019
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Last Update Date | 12/20/2020
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Provider Practice Location Address
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Address Line | 1804 E MAIN ST
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City | CHATTANOOGA
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State | TN
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Zip | 37404-5040
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Country | US
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Telephone | 615-708-0148
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Fax |
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Provider Business Mailing Address
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Address Line | 7240 GREGORY DR
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City | OOLTEWAH
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State | TN
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Zip | 37363-2507
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Country | US
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Telephone | 615-708-0148
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | DR. CHELSEA ELIZABETH SMITH
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Credential | PT, DPT
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Telephone | 615-708-0148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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