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General NPI Number Information
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NPI Number | 1356365522
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Entity Type | Individual
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Provider Name | JAMES P. KELLY APRN
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 2080 SILAS DEANE HWY
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City | ROCKY HILL
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State | CT
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Zip | 06067-2334
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Country | US
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Telephone | 860-529-5507
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Fax | 860-529-5644
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Provider Business Mailing Address
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Address Line | 2080 SILAS DEANE HWY
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City | ROCKY HILL
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State | CT
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Zip | 06067-2334
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Country | US
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Telephone | 860-529-5507
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Fax | 860-529-5644
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3272
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 003272
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License Number State | CT
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