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General NPI Number Information
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NPI Number | 1952891863
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Entity Type | Individual
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Provider Name | CHELSEA J SWORD FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/16/2018
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Last Update Date | 07/23/2019
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Provider Practice Location Address
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Address Line | 2540 HAUSER ROSS DR STE 275
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City | SYCAMORE
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State | IL
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Zip | 60178-3178
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Country | US
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Telephone | 815-748-3040
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Fax |
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Provider Business Mailing Address
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Address Line | 605 S 4TH ST
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City | DEKALB
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State | IL
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Zip | 60115-4127
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209017651
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License Number State | IL
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