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General NPI Number Information
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NPI Number | 1699771634
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Entity Type | Individual
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Provider Name | PATRICK KELLEDY MD
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Gender | Male
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 8700 BEVERLY BLVD
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90048-1804
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Country | US
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Telephone | 310-423-1447
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Fax |
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Provider Business Mailing Address
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Address Line | 8970 E RAINTREE DR SUITE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-7300
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Country | US
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Telephone | 480-609-9300
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Fax | 480-609-9350
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 24324
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G158086
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License Number State | CA
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