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General NPI Number Information
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NPI Number | 1518797034
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Entity Type | Individual
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Provider Name | CHELSEA AUTUMN SENTICH NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 08/07/2024
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | PO BOX 6244
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City | WHEELING
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State | WV
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Zip | 26003-0722
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Country | US
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Telephone | 304-843-5041
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Fax |
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Provider Business Mailing Address
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Address Line | 3183 COUNTY ROAD 8
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City | DILLONVALE
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State | OH
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Zip | 43917-7965
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Country | US
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Telephone | 740-433-9210
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.0037126
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License Number State | OH
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