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General NPI Number Information
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NPI Number | 1811587280
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Entity Type | Individual
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Provider Name | CHELSEA GRAY MPH
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Gender | Female
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Dates
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Enumeration Date | 01/20/2021
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Last Update Date | 02/08/2021
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Provider Practice Location Address
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Address Line | 521 HALSEY ST
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City | BROOKLYN
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State | NY
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Zip | 11233-1101
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Country | US
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Telephone | 347-480-9504
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Fax |
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Provider Business Mailing Address
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Address Line | 2151 ROUTE 38 APT 701
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City | CHERRY HILL
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State | NJ
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Zip | 08002-4230
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Country | US
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Telephone | 856-516-7136
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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