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General NPI Number Information
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NPI Number | 1891654174
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Entity Type | Individual
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Provider Name | CHELSEY JEAN MILLER IBCLC
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Gender | Male
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 15650 NE 24TH ST STE A
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City | BELLEVUE
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State | WA
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Zip | 98008-2460
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Country | US
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Telephone | 425-505-2745
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Fax |
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Provider Business Mailing Address
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Address Line | 912 NW 58TH ST
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City | SEATTLE
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State | WA
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Zip | 98107-2849
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Country | US
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Telephone | 206-914-3496
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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 | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | L-320908
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License Number State | WA
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