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General NPI Number Information
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NPI Number | 1962751172
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Entity Type | Individual
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Provider Name | CHELSEA LANAY SLUSHER DPT
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Gender | Female
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Dates
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Enumeration Date | 09/04/2012
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Last Update Date | 12/28/2022
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Provider Practice Location Address
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Address Line | 780 N EUCLID ST STE 104
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City | ANAHEIM
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State | CA
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Zip | 92801-4125
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Country | US
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Telephone | 714-533-3416
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Fax |
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Provider Business Mailing Address
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Address Line | 3238 WASHINGTON AVE
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City | COSTA MESA
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State | CA
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Zip | 92626-2249
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Country | US
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Telephone | 414-379-7876
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 39382
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License Number State | CA
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