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General NPI Number Information
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NPI Number | 1609256254
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Entity Type | Individual
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Provider Name | KELSEY MERLE QUINTON DPT
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Gender | Female
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Dates
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Enumeration Date | 06/08/2015
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Last Update Date | 08/27/2015
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Provider Practice Location Address
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Address Line | 5300 HICKORY PARK DR SUITE 110
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City | GLEN ALLEN
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State | VA
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Zip | 23059-2629
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Country | US
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Telephone | 804-270-7754
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Fax | 804-270-7756
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Provider Business Mailing Address
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Address Line | 1807 BRIARCLIFF RD
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City | RICHMOND
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State | VA
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Zip | 23225-2305
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Country | US
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Telephone | 757-291-3837
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305209567
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License Number State | VA
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