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General NPI Number Information
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NPI Number | 1851869309
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Entity Type | Individual
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Provider Name | CHELSEY LUKE MS
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Gender | Female
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Dates
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Enumeration Date | 11/02/2018
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Last Update Date | 07/14/2024
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Provider Practice Location Address
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Address Line | 317 S EDDY ST
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City | SOUTH BEND
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State | IN
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Zip | 46617-3201
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Country | US
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Telephone | 574-218-0566
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Fax |
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Provider Business Mailing Address
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Address Line | 58603 BAUGO COVE DR
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City | ELKHART
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State | IN
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Zip | 46517-8688
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Country | US
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Telephone | 574-596-2648
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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