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General NPI Number Information
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NPI Number | 1881027084
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Entity Type | Individual
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Provider Name | CHELSEA LYNN BALDERSON DDS
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Gender | Female
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Dates
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Enumeration Date | 08/12/2013
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Last Update Date | 07/26/2015
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Provider Practice Location Address
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Address Line | 7389 LEE HWY STE 101
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City | FALLS CHURCH
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State | VA
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Zip | 22042-1737
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Country | US
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Telephone | 703-468-4437
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Fax | 703-876-4705
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Provider Business Mailing Address
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Address Line | 7389 LEE HWY STE 101
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City | FALLS CHURCH
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State | VA
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Zip | 22042-1737
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Country | US
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Telephone | 703-468-4437
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Fax | 703-876-4705
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401414832
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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