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General NPI Number Information
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NPI Number | 1750952669
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Entity Type | Individual
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Provider Name | CHANELLE CATHERINE DUCHAUSSEE
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Gender | Female
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Dates
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Enumeration Date | 07/02/2021
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 2531 CENTER WEST PKWY # 500
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City | AUGUSTA
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State | GA
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Zip | 30909-2141
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Country | US
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Telephone | 706-607-0271
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Fax | 706-786-0697
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Provider Business Mailing Address
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Address Line | 2531 CENTER WEST PKWY # 500
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City | AUGUSTA
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State | GA
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Zip | 30909-2141
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Country | US
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Telephone | 706-607-0271
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Fax | 706-786-0697
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | POD305020
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License Number State | GA
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