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NPI 1861845638

NPI 1861845638 : CHELSEA R MAY PA-C : LOGAN, WV

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General NPI Number Information
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    NPI Number           |    1861845638
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    Entity Type          |    Individual 
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    Provider Name        |    CHELSEA R MAY PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/18/2016
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    Last Update Date     |    11/05/2025
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Provider Practice Location Address
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    Address Line         |    300 PROSPERITY LN STE 207 
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    City                 |    LOGAN
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    State                |    WV
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    Zip                  |    25601-3743
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    Country              |    US
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    Telephone            |    304-752-8202
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    Fax                  |    304-752-0050
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Provider Business Mailing Address
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    Address Line         |    695 HORSE CREEK RD PO BOX 165
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    City                 |    JULIAN
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    State                |    WV
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    Zip                  |    25529-9614
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    Country              |    US
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    Telephone            |    304-989-4873
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    1992
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    License Number State |    WV
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