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General NPI Number Information
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NPI Number | 1972071983
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Entity Type | Individual
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Provider Name | CHELSIE N CHONOSKI NP
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Gender | Female
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Dates
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Enumeration Date | 11/07/2018
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Last Update Date | 04/05/2024
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Provider Practice Location Address
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Address Line | 1005 HARBORSIDE DR 5TH FLOOR
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City | GALVESTON
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State | TX
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Zip | 77555-0001
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Country | US
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Telephone | 409-772-9605
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Fax | 409-772-4456
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Provider Business Mailing Address
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Address Line | PO BOX 650859 DEPT 710
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City | DALLAS
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State | TX
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Zip | 75265-0527
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Country | US
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Telephone | 409-747-6240
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP139266
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP139266
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License Number State | TX
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