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General NPI Number Information
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NPI Number | 1417440686
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Entity Type | Individual
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Provider Name | KELSEY LYNEE BIRT DOCTOR CHIROPRACTIC
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Gender | Female
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Dates
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Enumeration Date | 06/12/2018
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 311 N BAYSHORE DR
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City | SAFETY HARBOR
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State | FL
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Zip | 34695-3128
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Country | US
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Telephone | 727-789-4020
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Fax |
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Provider Business Mailing Address
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Address Line | 908 26TH ST N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33713-6818
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Country | US
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Telephone | 937-216-0100
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH12503
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License Number State | FL
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