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General NPI Number Information
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NPI Number | 1043373384
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Entity Type | Individual
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Provider Name | WILLIAM SCOTT KELLEY D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 35 S SPRUCE ST FL 1
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City | RAMSEY
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State | NJ
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Zip | 07446-2549
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Country | US
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Telephone | 201-327-1115
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Fax | 201-327-4766
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Provider Business Mailing Address
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Address Line | 35 S SPRUCE ST FL 1
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City | RAMSEY
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State | NJ
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Zip | 07446-2549
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Country | US
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Telephone | 201-327-1115
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Fax | 201-327-4766
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | MD01285
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License Number State | NJ
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