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General NPI Number Information
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NPI Number | 1932710217
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Entity Type | Individual
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Provider Name | MADELINE ELYSE CHELKO
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Gender | Female
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Dates
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Enumeration Date | 08/11/2020
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 9305 W THOMAS RD
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City | PHOENIX
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State | AZ
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Zip | 85037-3328
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Country | US
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Telephone | 480-756-6000
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Fax | 855-636-8770
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Provider Business Mailing Address
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Address Line | 9305 W THOMAS RD STE 150
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City | PHOENIX
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State | AZ
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Zip | 85037-3360
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Country | US
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Telephone | 480-756-6000
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Fax | 855-636-8770
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 304559
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License Number State | AZ
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