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NPI Code Detail

MEDICARE: CHELSEA DORSETT RD, LD

MEDICARE:   CHELSEA  DORSETT  RD, LD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian1064278OH

General Provider Information

NPI Number : 1639061567
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA DORSETT RD, LD
Provider Business Mailing Address
First Line : 8160 CORPORATE PARK DR STE 135
Second Line :
City : CINCINNATI
State : OH
Zip : 45242-3307
Country : US
Telephone Number : 513-924-5300
Fax Number :
Provider Business Practice Location Address
First Line : 8160 CORPORATE PARK DR STE 135
Second Line :
City : CINCINNATI
State : OH
Zip : 45242-3307
Country : US
Telephone Number : 513-924-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2025
Last Update Date : 07/16/2025

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Directions to “ CHELSEA DORSETT RD, LD” Practice Location

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