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General NPI Number Information
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NPI Number | 1023052966
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Entity Type | Individual
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Provider Name | DONELL JEAN KEDDY D.C
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Gender | Female
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 850 STATE ST
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City | CARTHAGE
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State | NY
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Zip | 13619-1429
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Country | US
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Telephone | 315-493-2225
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Fax | 315-493-2224
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Provider Business Mailing Address
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Address Line | 850 STATE STREET
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City | CARTHAGE
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State | NY
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Zip | 13619
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Country | US
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Telephone | 315-493-2225
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Fax | 153-493-2224
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 011217-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 011217
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License Number State | NY
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