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General NPI Number Information
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NPI Number | 1225548449
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Entity Type | Individual
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Provider Name | KELLY MICHELLE DAYHOFF PA
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Gender | Female
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Dates
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Enumeration Date | 10/02/2017
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Last Update Date | 07/30/2024
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Provider Practice Location Address
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Address Line | 1968 PEACHTREE RD NW
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City | ATLANTA
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State | GA
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Zip | 30309-1281
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Country | US
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Telephone | 404-605-5478
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Fax |
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Provider Business Mailing Address
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Address Line | 6524 SAND LAKE SOUND RD UNIT 3102
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City | ORLANDO
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State | FL
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Zip | 32819-7613
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Country | US
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Telephone | 561-262-8137
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 8657
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 8657
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License Number State | GA
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