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General NPI Number Information
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NPI Number | 1861923195
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Entity Type | Individual
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Provider Name | CHELSEA ROSE DEL ROSSO MD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 621 S NEW BALLAS RD STE 2003B
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8265
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Country | US
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Telephone | 314-251-5811
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Fax | 314-251-5812
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Provider Business Mailing Address
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Address Line | PO BOX 776084
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City | CHICAGO
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State | IL
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Zip | 60677-6084
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Country | US
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Telephone | 314-251-5811
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Fax | 314-251-5812
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2024041703
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License Number State | MO
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