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General NPI Number Information
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NPI Number | 1326363839
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Entity Type | Individual
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Provider Name | KESSA MAURAS DPM
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Gender | Female
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Dates
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Enumeration Date | 03/29/2010
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Last Update Date | 12/29/2021
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Provider Practice Location Address
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Address Line | 800 N PEARMAN AVE
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City | CLEVELAND
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State | MS
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Zip | 38732-3502
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Country | US
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Telephone | 888-757-0838
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Fax |
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Provider Business Mailing Address
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Address Line | 800 N PEARMAN AVE
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City | CLEVELAND
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State | MS
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Zip | 38732-3502
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Country | US
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Telephone | 888-757-0838
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | DP153769
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | N006318
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 80239
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License Number State | MS
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