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General NPI Number Information
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NPI Number | 1740174796
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Entity Type | Individual
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Provider Name | KELSEY HAMMONS
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Gender | Female
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 15500 ANNAPOLIS RD STE 102
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City | BOWIE
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State | MD
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Zip | 20715-3039
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Country | US
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Telephone | 443-481-1140
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Fax |
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Provider Business Mailing Address
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Address Line | 201 E PARK ST
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City | ELIZABETHTOWN
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State | PA
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Zip | 17022-2320
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Country | US
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Telephone | 717-629-9550
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | A6056
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License Number State | MD
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