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General NPI Number Information
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NPI Number | 1700215779
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Entity Type | Individual
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Provider Name | KELSI TAFARO M.ED, MT-BC
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Gender | Female
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Dates
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Enumeration Date | 11/11/2013
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Last Update Date | 01/09/2023
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Provider Practice Location Address
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Address Line | 10340 DEMOCRACY LN STE 302
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City | FAIRFAX
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State | VA
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Zip | 22030-2518
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Country | US
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Telephone | 571-367-9951
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 91
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City | HAYMARKET
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State | VA
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Zip | 20168-0091
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Country | US
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Telephone | 571-367-9951
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Fax | 703-754-8315
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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 | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number |
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License Number State |
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