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General NPI Number Information
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NPI Number | 1689867459
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Entity Type | Individual
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Provider Name | DIONNE YVELLE KELLOGG DC
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Gender | Female
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 04/19/2011
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Provider Practice Location Address
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Address Line | 1746 GENERAL GEORGE PATTON DR SUITE 102
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City | BRENTWOOD
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State | TN
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Zip | 37027-2935
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Country | US
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Telephone | 615-221-8033
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Fax | 615-221-8035
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Provider Business Mailing Address
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Address Line | 1746 GENERAL GEORGE PATTON DR SUITE 102
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City | BRENTWOOD
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State | TN
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Zip | 37027-2935
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Country | US
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Telephone | 615-221-8033
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Fax | 615-221-8035
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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 | 2164
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38-010960
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License Number State | IL
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