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General NPI Number Information
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NPI Number | 1649547290
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Entity Type | Individual
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Provider Name | KELLY ROSE THOMAS D.P.T.
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Gender | Female
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Dates
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Enumeration Date | 11/28/2011
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Last Update Date | 11/28/2011
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Provider Practice Location Address
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Address Line | 143 JOHN ST
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City | SALINAS
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State | CA
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Zip | 93901-3337
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Country | US
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Telephone | 831-422-4782
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2969
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City | CARMEL
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State | CA
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Zip | 93921-2969
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Country | US
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Telephone | 919-685-7849
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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 | 38501
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P13371
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License Number State | NC
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