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NPI 1689007692

NPI 1689007692 : CHELSEA LINK : OLATHE, KS

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General NPI Number Information
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    NPI Number           |    1689007692
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    Entity Type          |    Individual 
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    Provider Name        |    CHELSEA LINK
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/13/2013
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    Last Update Date     |    04/17/2017
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Provider Practice Location Address
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    Address Line         |    1715 E CEDAR ST SUITE 115
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    City                 |    OLATHE
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    State                |    KS
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    Zip                  |    66062-1891
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    Country              |    US
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    Telephone            |    816-977-3178
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1715 E CEDAR ST 115
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    City                 |    OLATHE
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    State                |    KS
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    Zip                  |    66062-1891
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    Country              |    US
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    Telephone            |    913-298-1258
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    2485
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    License Number State |    KS
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