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General NPI Number Information
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NPI Number | 1336823012
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Entity Type | Individual
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Provider Name | KELSEY EVERS MS, CNS, LDN
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Gender | Female
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Dates
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Enumeration Date | 06/13/2023
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Last Update Date | 06/13/2023
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Provider Practice Location Address
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Address Line | 910 17TH ST NW STE 413
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City | WASHINGTON
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State | DC
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Zip | 20006-2615
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Country | US
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Telephone | 202-408-4858
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Fax |
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Provider Business Mailing Address
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Address Line | 2528 SHERIDAN RD SE
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City | WASHINGTON
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State | DC
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Zip | 20020-5212
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Country | US
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Telephone | 414-559-0525
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | DX6140
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License Number State | MD
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