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General NPI Number Information
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NPI Number | 1295083293
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Entity Type | Individual
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Provider Name | JESSICA HEWINS KELLY CHRISTOPHER DPT
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Gender | Female
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Dates
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Enumeration Date | 08/22/2012
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 8001 LYNBROOK DR
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City | BETHESDA
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State | MD
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Zip | 20814-4642
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Country | US
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Telephone | 240-740-5500
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Fax | 301-657-4971
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Provider Business Mailing Address
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Address Line | 8001 LYNBROOK DR
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City | BETHESDA
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State | MD
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Zip | 20814-4642
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Country | US
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Telephone | 240-740-5500
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Fax | 301-657-4971
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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 | 24161
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License Number State | MD
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