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General NPI Number Information
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NPI Number | 1588223598
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Entity Type | Individual
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Provider Name | CHELSEA L FREY RN, MSN, NP-C
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Gender | Female
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Dates
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Enumeration Date | 06/12/2019
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Last Update Date | 09/20/2019
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Provider Practice Location Address
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Address Line | 1310 FORTINO BLVD STE D
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City | PUEBLO
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State | CO
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Zip | 81008-2076
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Country | US
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Telephone | 719-582-1898
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Fax | 719-621-4098
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Provider Business Mailing Address
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Address Line | 1239 S SILVERADO DR
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City | PUEBLO WEST
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State | CO
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Zip | 81007-7040
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Country | US
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Telephone | 720-312-1294
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APN.0994923-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APN.0994923-NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APN.0994923-NP
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License Number State | CO
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