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General NPI Number Information
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NPI Number | 1134902513
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Entity Type | Organization
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Legal Business Name | KELLEY-ROSS & ASSOC INC
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Dates
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Enumeration Date | 08/17/2023
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 904 7TH AVE # 103
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City | SEATTLE
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State | WA
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Zip | 98104-1132
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Country | US
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Telephone | 206-324-6990
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Fax | 206-329-1849
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Provider Business Mailing Address
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Address Line | 904 7TH AVE # 103
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City | SEATTLE
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State | WA
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Zip | 98104-1132
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Country | US
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Telephone | 206-324-6990
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Fax | 206-329-1849
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | BRIAN E. BEACH
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Credential |
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Telephone | 206-838-4544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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