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General NPI Number Information
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NPI Number | 1942571070
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Entity Type | Individual
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Provider Name | MS. TRACI JO CHESLEY
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Gender | Female
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Dates
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Enumeration Date | 01/20/2012
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Last Update Date | 01/20/2012
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Provider Practice Location Address
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Address Line | 3504 WINFIELD RD
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City | WINFIELD
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State | WV
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Zip | 25213-9608
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Country | US
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Telephone | 304-586-3088
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Fax | 304-204-2086
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Provider Business Mailing Address
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Address Line | 3504 WINFIELD RD
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City | WINFIELD
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State | WV
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Zip | 25213-9608
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Country | US
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Telephone | 304-586-3088
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Fax | 304-204-2086
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP0004207
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License Number State | WV
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