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General NPI Number Information
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NPI Number | 1841391885
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Entity Type | Individual
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Provider Name | SUSAN ROWAN CHELEC MSPT
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 02/19/2015
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Provider Practice Location Address
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Address Line | 1470 E VALLEY RD M
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City | SANTA BARBARA
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State | CA
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Zip | 93108-1220
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Country | US
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Telephone | 805-565-5252
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Fax | 805-565-5250
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Provider Business Mailing Address
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Address Line | PO BOX 5656
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City | SANTA BARBARA
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State | CA
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Zip | 93150-5656
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Country | US
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Telephone | 805-565-5252
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Fax | 805-565-5250
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 7940
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 42179
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License Number State | CA
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