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General NPI Number Information
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NPI Number | 1144834151
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Entity Type | Individual
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Provider Name | KELLY MARIE FLESH
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Gender | Female
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Dates
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Enumeration Date | 09/07/2020
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 5375 NW 54TH ST
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City | COCONUT CREEK
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State | FL
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Zip | 33073-3739
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Country | US
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Telephone | 407-756-6853
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Fax |
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Provider Business Mailing Address
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Address Line | 5375 NW 54TH ST
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City | COCONUT CREEK
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State | FL
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Zip | 33073-3739
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Country | US
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Telephone | 407-756-6853
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1228122
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 53-85277-112
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95452181
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4052520
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | CNP261079
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License Number State | ME
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | C-APN.0106015-C-NP
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License Number State | CO
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Taxonomy #7
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | C-RXN.0103873-C-NP
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License Number State | CO
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11018516
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9465064
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License Number State | FL
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