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General NPI Number Information
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NPI Number | 1326774282
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Entity Type | Individual
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Provider Name | KELSEY ANITA ALLEN
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Gender | Female
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Dates
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Enumeration Date | 07/25/2022
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 1 HOSPITAL PLZ
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City | STAMFORD
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State | CT
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Zip | 06902-3602
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Country | US
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Telephone | 203-276-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 1 HOSPITAL PLZ
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City | STAMFORD
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State | CT
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Zip | 06902-3602
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Country | US
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Telephone | 203-276-7470
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Fax | 203-276-5560
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA064125
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 6672
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License Number State | CT
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