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General NPI Number Information
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NPI Number | 1184782591
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Entity Type | Individual
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Provider Name | VALERIE ANN KELLY PSYD RN
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Gender | Female
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 24520 HAWTHORNE BLVD SUITE 220
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City | TORRANCE
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State | CA
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Zip | 90505-6800
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Country | US
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Telephone | 310-521-9745
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Fax | 310-521-9745
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Provider Business Mailing Address
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Address Line | 2634 PALOS VERDES DR NORTH
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City | ROLLING HILLS ESTATES
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State | CA
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Zip | 90274
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Country | US
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Telephone | 310-521-0016
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY17621
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 318581
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 5384
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License Number State | CA
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