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General NPI Number Information
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NPI Number | 1811879976
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Entity Type | Individual
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Provider Name | CHELSI LOPEZ
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Gender | Female
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 5200 28TH ST N LOT 358
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City | ST PETERSBURG
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State | FL
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Zip | 33714-2581
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Country | US
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Telephone | 319-212-0971
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Fax |
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Provider Business Mailing Address
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Address Line | 535 TRYMORE DR SE
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City | PALM BAY
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State | FL
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Zip | 32909-2373
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Country | US
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Telephone | 319-471-7921
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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