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General NPI Number Information
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NPI Number | 1548853377
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Entity Type | Individual
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Provider Name | DEVIN KELLEY APRN
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Gender | Female
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Dates
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Enumeration Date | 02/12/2021
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 3702 WASHINGTON ST
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City | HOLLYWOOD
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State | FL
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Zip | 33021-8282
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Country | US
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Telephone | 954-954-8663
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Fax |
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Provider Business Mailing Address
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Address Line | 190 E TALL OAKS CIR
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4444
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Country | US
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Telephone | 954-815-0035
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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 | 11010123
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License Number State | FL
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