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General NPI Number Information
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NPI Number | 1316828825
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Entity Type | Individual
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Provider Name | KELSEY ANN PUMA
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Gender | Female
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 1454 E MAPLE ST
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City | NORTH CANTON
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State | OH
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Zip | 44720-2634
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Country | US
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Telephone | 330-499-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 644 LYNNVIEW ST SW
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City | HARTVILLE
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State | OH
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Zip | 44632-8784
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Country | US
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Telephone | 754-971-7274
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA013528
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License Number State | OH
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