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General NPI Number Information
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NPI Number | 1649145822
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Entity Type | Individual
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Provider Name | KELSEY ANDERSON
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Gender | Female
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 2991 HICKORY FORK RD
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City | GLOUCESTER
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State | VA
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Zip | 23061-4045
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Country | US
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Telephone | 804-693-0453
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Fax |
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Provider Business Mailing Address
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Address Line | 280 CENTERVILLE RD
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City | SHACKLEFORDS
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State | VA
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Zip | 23156-3000
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Country | US
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Telephone | 804-439-9333
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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 | VA
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