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NPI 1710414842

NPI 1710414842 : CHELSEA MARIE GOLDSMITH PHARMD : COLORADO SPRINGS, CO

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General NPI Number Information
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    NPI Number           |    1710414842
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    Entity Type          |    Individual 
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    Provider Name        |    CHELSEA MARIE GOLDSMITH PHARMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/19/2017
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    Last Update Date     |    05/19/2017
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Provider Practice Location Address
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    Address Line         |    1400 E BOULDER ST 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80909-5533
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    Country              |    US
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    Telephone            |    719-365-9383
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2840 WOODLAND HILLS DR APT 103 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80918-4684
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    Country              |    US
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    Telephone            |    17155799443
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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       |    21357
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    License Number State |    CO
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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       |    122981
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    License Number State |    MN
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