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General NPI Number Information
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NPI Number | 1396838314
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Entity Type | Individual
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Provider Name | NORWOOD R. KELLY JR. O.D.
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 10/06/2023
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Provider Practice Location Address
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Address Line | 2010 WOODMERE BLVD SUITE H
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City | HARVEY
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State | LA
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Zip | 70058-2286
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Country | US
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Telephone | 504-371-8044
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Fax | 504-371-8042
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Provider Business Mailing Address
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Address Line | 242 SARAH VICTORIA DR
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City | BELLE CHASSE
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State | LA
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Zip | 70037-4146
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Country | US
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Telephone | 504-452-0390
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Fax | 504-656-7158
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2316DT
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | DA2924
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1395
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | I5-0000002
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License Number State | DE
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Taxonomy #5
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OET009163
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 939165T
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License Number State | LA
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