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General NPI Number Information
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NPI Number | 1730312042
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Entity Type | Individual
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Provider Name | AMELIA KELLEY L.P.C
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Gender | Female
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Dates
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Enumeration Date | 09/02/2009
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Last Update Date | 02/27/2012
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Provider Practice Location Address
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Address Line | 2102 GARNER ROAD
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City | RALEIGH
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State | NC
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Zip | 27610
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Country | US
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Telephone | 919-832-7351
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Fax |
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Provider Business Mailing Address
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Address Line | 2102 GARNER RD, SUITE 113
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City | RALEIGH
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State | NC
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Zip | 27610
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Country | US
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Telephone | 919-832-7351
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 7483
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License Number State | NC
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