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General NPI Number Information
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NPI Number | 1285150821
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Entity Type | Individual
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Provider Name | LAUREN ELISABETH KELLING NP
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Gender | Female
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Dates
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Enumeration Date | 08/15/2017
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Last Update Date | 08/15/2017
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Provider Practice Location Address
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Address Line | 700 N. PEARL ST. SUITEN208
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City | DALLAS
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State | TX
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Zip | 75201
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Country | US
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Telephone | 214-580-7277
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Fax |
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Provider Business Mailing Address
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Address Line | 1011 S PEARL EXPY APT 205
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City | DALLAS
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State | TX
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Zip | 75201-6126
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Country | US
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Telephone | 712-230-0316
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP134884
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License Number State | TX
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