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General NPI Number Information
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NPI Number | 1134944747
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Entity Type | Individual
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Provider Name | CLAIRISSA LOUISE KELSO
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Gender | Female
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | TUFTS HOUSE 2004 RIDGEWOOD DRIVE
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City | ATLANTA
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State | GA
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Zip | 30322-0001
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Country | US
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Telephone | 612-221-3102
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Fax |
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Provider Business Mailing Address
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Address Line | 902 S BROOKS ST APT 2
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City | MADISON
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State | WI
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Zip | 53715-1968
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Country | US
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Telephone | 612-221-3102
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number |
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License Number State |
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