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General NPI Number Information
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NPI Number | 1629521166
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Entity Type | Individual
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Provider Name | CHELSEA SICKEL D.C.
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Gender | Female
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Dates
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Enumeration Date | 08/02/2016
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Last Update Date | 05/12/2020
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Provider Practice Location Address
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Address Line | 250 WAMPANOAG TRAIL SUITE 306
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City | RIVERSIDE
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State | RI
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Zip | 02915-5206
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Country | US
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Telephone | 401-223-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 11 S ANGELL ST # 151
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City | PROVIDENCE
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State | RI
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Zip | 02906-5206
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Country | US
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Telephone | 617-431-6427
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3559
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC00446
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License Number State | RI
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