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General NPI Number Information
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NPI Number | 1700176583
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Entity Type | Individual
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Provider Name | CHELSEA ROSE RASIS PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/13/2011
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Last Update Date | 01/12/2017
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Provider Practice Location Address
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Address Line | 1212 S BROADWAY #150
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City | DENVER
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State | CO
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Zip | 80210-1582
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Country | US
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Telephone | 303-777-2777
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Fax | 303-871-0218
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Provider Business Mailing Address
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Address Line | 1212 S BROADWAY #150
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City | DENVER
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State | CO
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Zip | 80210-1582
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Country | US
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Telephone | 303-777-2777
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Fax | 303-871-0218
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.0003170
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License Number State | CO
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