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General NPI Number Information
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NPI Number | 1609506203
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Entity Type | Individual
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Provider Name | CHENAY A KELLY
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Gender | Female
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Dates
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Enumeration Date | 06/15/2022
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Last Update Date | 06/15/2022
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Provider Practice Location Address
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Address Line | 811 CYPRESS ST
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City | GREENSBORO
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State | NC
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Zip | 27405-6917
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Country | US
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Telephone | 336-370-8110
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 36513
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City | GREENSBORO
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State | NC
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Zip | 27416-6513
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Country | US
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Telephone | 336-987-4874
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State | NC
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