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General NPI Number Information
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NPI Number | 1629556519
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Entity Type | Individual
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Provider Name | KELSEY WILLIAMS PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/01/2018
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Last Update Date | 08/02/2018
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Provider Practice Location Address
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Address Line | 1000 JOHNSON FY RD NE
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City | ATLANTA
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State | GA
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Zip | 30342
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Country | US
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Telephone | 404-851-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 2673 TRITT SPRINGS TRCE NE
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City | MARIETTA
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State | GA
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Zip | 30062-5266
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Country | US
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Telephone | 513-509-8079
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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 | PT012729
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License Number State | GA
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