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NPI 1487181814

NPI 1487181814 : KELSEY ANNE BINAU DO : SUNBURY, OH

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General NPI Number Information
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    NPI Number           |    1487181814
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    Entity Type          |    Individual 
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    Provider Name        |    KELSEY ANNE BINAU DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/16/2017
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    Last Update Date     |    08/04/2025
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Provider Practice Location Address
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    Address Line         |    801 W CHERRY ST 
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    City                 |    SUNBURY
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    State                |    OH
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    Zip                  |    43074-3575
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    Country              |    US
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    Telephone            |    614-685-2805
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    700 ACKERMAN RD STE 2120 
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    City                 |    COLUMBUS
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    State                |    OH
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    Zip                  |    43202-1559
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    Country              |    US
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    Telephone            |    614-685-2805
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    4057
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    4057
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    License Number State |    TN
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Taxonomy #3
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    34.018055
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    License Number State |    OH
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