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General NPI Number Information
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NPI Number | 1649823170
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Entity Type | Individual
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Provider Name | CHELSEA MYNYK CNM
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Gender | Female
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Dates
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Enumeration Date | 07/23/2019
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | 1951 CHARBRAY PT
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City | CASTLE ROCK
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State | CO
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Zip | 80108-8439
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Country | US
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Telephone | 720-384-3254
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2073
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City | CASTLE ROCK
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State | CO
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Zip | 80104-1509
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Country | US
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Telephone | 720-432-6580
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Fax | 720-496-0621
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | CNM03900
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | CNM03900
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | CNM03900
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License Number State | CO
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