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General NPI Number Information
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NPI Number | 1578037693
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Entity Type | Individual
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Provider Name | CHELSEA ANNE REICHERT PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/12/2019
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Last Update Date | 12/06/2025
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Provider Practice Location Address
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Address Line | 2920 N CASCADE AVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-6262
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Country | US
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Telephone | 719-247-2532
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Fax | 719-867-2081
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Provider Business Mailing Address
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Address Line | 33 SE 8TH ST APT 517
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City | BOCA RATON
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State | FL
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Zip | 33432-6428
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Country | US
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Telephone | 908-907-8812
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 9111957
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP0074930
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.0008888
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License Number State | CO
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