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General NPI Number Information
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NPI Number | 1245124981
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Entity Type | Individual
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Provider Name | KELSEY HAJEC
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Gender | Female
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 101 E FREDERICK ST
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City | STAUNTON
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State | VA
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Zip | 24401-3615
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Country | US
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Telephone | 540-887-7019
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 OPITZ BLVD
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3311
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Country | US
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Telephone | 703-523-1000
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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 | 0110011163
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License Number State | VA
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