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General NPI Number Information
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NPI Number | 1407732928
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Entity Type | Individual
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Provider Name | KELLI MYSCHEL TUBBS
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Gender | Female
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 8080 BECKETT CENTER DR STE 217
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City | WEST CHESTER
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State | OH
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Zip | 45069-5037
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Country | US
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Telephone | 513-490-9653
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Fax | 513-525-1100
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Provider Business Mailing Address
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Address Line | 8221 CELESTIAL CIR
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City | LIBERTY TOWNSHIP
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State | OH
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Zip | 45044-8399
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Country | US
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Telephone | 513-546-1382
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Fax | 513-525-1100
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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