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General NPI Number Information
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NPI Number | 1649715988
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Entity Type | Individual
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Provider Name | KELLY LER D.C.
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Gender | Female
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Dates
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Enumeration Date | 12/22/2016
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Last Update Date | 12/22/2016
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Provider Practice Location Address
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Address Line | 1001 FAIRMONT PKWY SUITE M
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City | PASADENA
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State | TX
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Zip | 77504-2944
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Country | US
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Telephone | 713-946-1441
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Fax |
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Provider Business Mailing Address
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Address Line | 1911 LAZY CREEK LN
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City | PEARLAND
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State | TX
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Zip | 77581-5617
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Country | US
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Telephone | 406-853-2353
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 13357
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License Number State | TX
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