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General NPI Number Information
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NPI Number | 1629724141
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Entity Type | Individual
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Provider Name | CHELSEA L LARKINS OTA
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Gender | Female
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Dates
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Enumeration Date | 02/23/2022
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Last Update Date | 02/23/2022
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Provider Practice Location Address
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Address Line | 7045 EVERGREEN WOODS TRL
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City | SPRING HILL
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State | FL
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Zip | 34608-1306
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Country | US
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Telephone | 352-596-8371
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Fax |
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Provider Business Mailing Address
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Address Line | 9414 BARRINGTON LN
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City | PORT RICHEY
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State | FL
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Zip | 34668-4432
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Country | US
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Telephone | 727-808-9644
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | OT16614
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License Number State | FL
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