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General NPI Number Information
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NPI Number | 1790689966
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Entity Type | Individual
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Provider Name | CARALYN CHESNEY
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Gender | Female
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 9295 FARNHAM ST STE 200
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City | SAN DIEGO
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State | CA
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Zip | 92123-1255
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Country | US
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Telephone | 858-332-2631
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Fax |
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Provider Business Mailing Address
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Address Line | 8668 CHANTILLY AVE
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City | SAN DIEGO
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State | CA
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Zip | 92123-3435
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Country | US
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Telephone | 858-395-1816
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State | CA
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