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General NPI Number Information
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NPI Number | 1013193705
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Entity Type | Individual
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Provider Name | KELLIE ELIZABETH FLIPPIN MD
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Gender | Female
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 1005 BROADWAY ST
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City | QUINCY
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State | IL
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Zip | 62301-2834
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Country | US
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Telephone | 217-223-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 2132 DRUID RD E
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City | CLEARWATER
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State | FL
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Zip | 33764-6351
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Country | US
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Telephone | 919-259-1520
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 036156080
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License Number State | IL
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