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General NPI Number Information
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NPI Number | 1467506238
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Entity Type | Individual
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Provider Name | KELLY BEST DAVIDSON LCSW, ITDS
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Gender | Female
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 04/25/2016
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Provider Practice Location Address
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Address Line | 4151 6TH ST S
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City | SAINT PETERSBURG
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State | FL
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Zip | 33705-3909
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Country | US
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Telephone | 727-893-2196
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Fax | 727-893-9152
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Provider Business Mailing Address
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Address Line | 783 30TH AVE N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33704-2065
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Country | US
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Telephone | 407-739-5355
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW12930
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | DOE883531
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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