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General NPI Number Information
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NPI Number | 1669655718
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Entity Type | Organization
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Legal Business Name | CHAD G KELMAN MD PA
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Dates
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Enumeration Date | 12/12/2007
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Last Update Date | 12/12/2007
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Provider Practice Location Address
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Address Line | 5032 NW 24TH CIR
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City | BOCA RATON
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State | FL
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Zip | 33431-4330
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Country | US
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Telephone | 561-414-5892
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Fax | 561-994-2559
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Provider Business Mailing Address
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Address Line | 5032 NW 24TH CIR
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City | BOCA RATON
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State | FL
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Zip | 33431-4330
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Country | US
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Telephone | 561-414-5892
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Fax | 561-994-2559
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | CHAD G KELMAN
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Credential | M.D.
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Telephone | 5615614145892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 77952
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License Number State | FL
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