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General NPI Number Information
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NPI Number | 1801702972
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Entity Type | Individual
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Provider Name | KELLY LYNN TOMS BSN-RN
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Gender | Female
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 233 GLENBROOK RD UNIT 4077
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City | STORRS
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State | CT
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Zip | 06269-4077
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Country | US
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Telephone | 860-486-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 1626 W VIEW TRL
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City | HOWELL
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State | MI
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Zip | 48843-8077
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Country | US
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Telephone | 810-923-5691
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 4704349971
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License Number State | MI
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