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General NPI Number Information
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NPI Number | 1306838602
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Entity Type | Individual
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Provider Name | CHERYL ANN KELLEY NP
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Gender | Female
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 12/03/2009
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Provider Practice Location Address
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Address Line | 5311 BIG SPRING HWY
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City | SNYDER
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State | TX
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Zip | 79549-6347
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Country | US
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Telephone | 325-776-2500
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Fax | 325-776-2355
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Provider Business Mailing Address
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Address Line | 1407 SUNNYVALE ST
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City | SWEETWATER
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State | TX
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Zip | 79556-1922
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Country | US
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Telephone | 325-933-4224
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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 | 240740
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License Number State | TX
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