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General NPI Number Information
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NPI Number | 1699318113
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Entity Type | Individual
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Provider Name | CHELSEA VICTORIA SHIELDS BURNS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/28/2019
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Last Update Date | 10/28/2019
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Provider Practice Location Address
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Address Line | 625 S VAN BUREN RD
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City | EDEN
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State | NC
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Zip | 27288-5319
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Country | US
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Telephone | 434-548-4515
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Fax |
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Provider Business Mailing Address
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Address Line | 217 BRANDON CT
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City | DANVILLE
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State | VA
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Zip | 24541-3507
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Country | US
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Telephone | 434-548-4515
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202210628
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28024
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License Number State | NC
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