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General NPI Number Information
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NPI Number | 1528380839
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Entity Type | Individual
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Provider Name | KELLY RENEE THOMPSON KELLY THOMPSON, APRN
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Gender | Female
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Dates
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Enumeration Date | 02/28/2010
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 2100 SE SALERNO RD
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City | STUART
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State | FL
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Zip | 34997-6503
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Country | US
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Telephone | 772-223-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 SE SALERNO RD
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City | STUART
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State | FL
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Zip | 34997-6503
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Country | US
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Telephone | 772-222-2300
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN9170246
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License Number State | FL
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