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General NPI Number Information
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NPI Number | 1124901020
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Entity Type | Individual
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Provider Name | MARK J KELLY MT, AP, BA
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Gender | Male
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 3490 LINDEN AVE STE 3
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City | LONG BEACH
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State | CA
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Zip | 90807-4559
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Country | US
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Telephone | 323-229-2930
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Fax |
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Provider Business Mailing Address
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Address Line | 255 NEWPORT AVE
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City | LONG BEACH
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State | CA
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Zip | 90803-5922
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Country | US
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Telephone | 562-619-0327
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 98554
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License Number State | CA
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