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General NPI Number Information
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NPI Number | 1952969883
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Entity Type | Individual
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Provider Name | CHELSEA JEAN FORSYTHE
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Gender | Female
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Dates
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Enumeration Date | 06/05/2019
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 2625 E FEDERAL ST
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City | BALTIMORE
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State | MD
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Zip | 21213-3741
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Country | US
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Telephone | 410-396-9158
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Fax |
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Provider Business Mailing Address
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Address Line | 1848 LOCH SHIEL RD
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City | TOWSON
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State | MD
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Zip | 21286-8918
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Country | US
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Telephone | 717-324-8264
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 07329
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License Number State | MD
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