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General NPI Number Information
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NPI Number | 1649725177
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Entity Type | Individual
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Provider Name | CHELSEA CHRISTINE SORENSEN ATC
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Gender | Female
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Dates
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Enumeration Date | 08/25/2016
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Last Update Date | 10/29/2016
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Provider Practice Location Address
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Address Line | 11200 GOVERNOR MANLY WAY
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City | RALEIGH
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State | NC
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Zip | 27614-8599
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Country | US
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Telephone | 919-562-9410
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Fax |
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Provider Business Mailing Address
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Address Line | 314 COMMONS DR
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-8378
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Country | US
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Telephone | 863-398-8861
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | LAT-3009
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License Number State | NC
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