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General NPI Number Information
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NPI Number | 1447447941
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Entity Type | Individual
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Provider Name | KELLEY KAY CRITTENDEN L.AC.
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Gender | Female
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 09/27/2007
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Provider Practice Location Address
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Address Line | 2634 N 49TH PL
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City | PHOENIX
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State | AZ
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Zip | 85008-1644
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Country | US
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Telephone | 602-852-3825
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Fax |
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Provider Business Mailing Address
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Address Line | 7170 E MCDONALD DR SUITE 8
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City | SCOTTSDALE
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State | AZ
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Zip | 85253-5408
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Country | US
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Telephone | 480-998-7009
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Fax | 480-998-1200
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 19
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License Number State | AZ
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