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General NPI Number Information
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NPI Number | 1225574379
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Entity Type | Individual
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Provider Name | KELSEY VELO
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Gender | Female
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Dates
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Enumeration Date | 01/13/2017
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 620 JOHN PAUL JONES CIR
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City | PORTSMOUTH
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State | VA
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Zip | 23708-2111
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Country | US
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Telephone | 757-953-1464
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Fax |
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Provider Business Mailing Address
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Address Line | 3111 W DR MARTIN LUTHER KING JR BLVD STE 500
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City | TAMPA
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State | FL
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Zip | 33607-6235
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 43405
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305212423
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 62048
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License Number State | OR
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