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General NPI Number Information
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NPI Number | 1851549281
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Entity Type | Individual
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Provider Name | CHELSEA GERDING RD
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Gender | Female
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Dates
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Enumeration Date | 08/27/2008
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Last Update Date | 08/27/2008
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Provider Practice Location Address
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Address Line | G3247 BEECHER RD
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City | FLINT
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State | MI
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Zip | 48532-3642
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Country | US
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Telephone | 810-923-5600
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Fax | 810-584-0373
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Provider Business Mailing Address
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Address Line | PO BOX 439
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City | GRAND BLANC
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State | MI
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Zip | 48480-0439
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Country | US
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Telephone | 810-923-5600
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Fax | 810-584-0373
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 1031230
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License Number State | MI
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