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General NPI Number Information
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NPI Number | 1376751354
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Entity Type | Individual
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Provider Name | JOSEPH R KELLEY M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 08/13/2021
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Provider Practice Location Address
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Address Line | GENESISCARE USA OF NORTH CAROLINA 20 MEDICAL PARK
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City | ASHEVILLE
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State | NC
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Zip | 28803-1545
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Country | US
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Telephone | 828-253-7077
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Fax |
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Provider Business Mailing Address
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Address Line | GENESISCARE USA OF NORTH CAROLINA 20 MEDICAL PARK
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City | ASHEVILLE
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State | NC
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Zip | 28803-0028
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Country | US
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Telephone | 828-253-7077
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Fax | 865-670-6198
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 2021-02149
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License Number State | NC
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