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General NPI Number Information
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NPI Number | 1639991128
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Entity Type | Individual
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Provider Name | CHELSEA N SMYTH RD
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Gender | Female
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 9000 STONY POINT PARKWAY
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City | RICHMOND
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State | VA
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Zip | 23235
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Country | US
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Telephone | 804-560-8950
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Fax | 804-560-7343
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Provider Business Mailing Address
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Address Line | 1231 WINDSOR AVE
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City | RICHMOND
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State | VA
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Zip | 23227-3744
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Country | US
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Telephone | 804-437-2280
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 1084510
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License Number State |
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