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General NPI Number Information
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NPI Number | 1750248746
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Entity Type | Individual
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Provider Name | KELLI JAMES
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Gender | Female
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 1222 S ORANGE AVE
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City | ORLANDO
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State | FL
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Zip | 32806-1215
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Country | US
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Telephone | 321-841-7856
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Fax | 321-841-7856
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Provider Business Mailing Address
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Address Line | 13518 TOPAZ LAKE CT
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City | ORLANDO
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State | FL
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Zip | 32828-7467
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Country | US
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Telephone | 321-841-7856
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Fax | 321-843-6432
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | RN9507315
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | RN9507315
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License Number State | FL
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