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General NPI Number Information
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NPI Number | 1558451781
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Entity Type | Individual
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Provider Name | KELLY S. DEMELE APRN-C
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Gender | Female
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 400 N TAMPA ST FL 15
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City | TAMPA
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State | FL
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Zip | 33602-4730
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Country | US
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Telephone | 888-033-3708
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Fax | 888-803-3331
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Provider Business Mailing Address
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Address Line | 333 1ST ST STE A
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City | SAN FRANCISCO
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State | CA
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Zip | 94105-2661
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Country | US
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Telephone | 888-033-3708
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Fax | 888-803-3331
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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 | 0024175383
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A177745
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704335452
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 60769944
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9190390
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License Number State | FL
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