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General NPI Number Information
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NPI Number | 1750660189
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Entity Type | Individual
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Provider Name | ANN-MARIE ELIN CHESTERFIELD P.T.
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Gender | Female
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Dates
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Enumeration Date | 08/16/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 10653 WAYZATA BLVD STE 200
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City | MINNETONKA
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State | MN
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Zip | 55305-1543
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Country | US
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Telephone | 952-224-1919
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Fax |
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Provider Business Mailing Address
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Address Line | 2807 LOMA VISTA RD SUITE 104
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City | VENTURA
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State | CA
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Zip | 93003-1500
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Country | US
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Telephone | 805-641-3843
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 38009
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License Number State | CA
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