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General NPI Number Information
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NPI Number | 1578810669
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Entity Type | Individual
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Provider Name | CHELSY ROSE EMMONS M.S., C.G.C
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Gender | Female
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Dates
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Enumeration Date | 08/08/2012
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 2530 CHICAGO AVE MAIL STOP 560
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City | MINNEAPOLIS
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State | MN
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Zip | 55404-4289
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Country | US
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Telephone | 612-813-6271
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Fax | 612-813-6360
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Provider Business Mailing Address
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Address Line | 2525 CHICAGO AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55404-4518
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Country | US
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Telephone | 612-813-7491
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Fax | 612-813-6360
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number | 1049
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License Number State | MN
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