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General NPI Number Information
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NPI Number | 1093141798
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Entity Type | Individual
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Provider Name | DENISE CHRISTINE KELLEY APRN
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Gender | Female
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Dates
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Enumeration Date | 09/25/2013
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Last Update Date | 09/02/2020
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Provider Practice Location Address
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Address Line | 950 WINTER ST SUITE 2200/3800
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City | WALTHAM
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State | MA
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Zip | 02451-1227
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Country | US
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Telephone | 781-795-2841
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Fax |
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Provider Business Mailing Address
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Address Line | 950 WINTER ST SUITE 2200/3800
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City | WALTHAM
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State | MA
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Zip | 02451-1227
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Country | US
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Telephone | 781-795-2841
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5533
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN153855
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License Number State | MA
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