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General NPI Number Information
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NPI Number | 1568534428
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Entity Type | Individual
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Provider Name | KELLEY VON SCOTT APN
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Gender | Female
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 05/26/2011
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Provider Practice Location Address
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Address Line | 3362 S 3RD ST CHRIST COMMUNITY HEALTH SERVICES INC
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City | MEMPHIS
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State | TN
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Zip | 38109-2944
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Country | US
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Telephone | 901-271-6300
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Fax | 901-260-8590
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Provider Business Mailing Address
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Address Line | 6078 FLYNTHILL DR
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City | BARTLETT
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State | TN
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Zip | 38135-2314
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Country | US
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Telephone | 901-385-6257
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN0000008317
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License Number State | TN
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