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General NPI Number Information
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NPI Number | 1801729199
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Entity Type | Individual
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Provider Name | KELLY ELEANOR CARR DPT
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Gender | Female
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 610 OCEAN AVENUE
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City | LONG BRANCH
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State | NJ
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Zip | 07740
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Country | US
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Telephone | 732-795-6770
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Fax | 848-275-2279
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Provider Business Mailing Address
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Address Line | 1500 MEETING HOUSE RD
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City | SEA GIRT
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State | NJ
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Zip | 08750-2220
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Country | US
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Telephone | 732-784-6545
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Fax | 732-240-5280
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA02419200
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License Number State | NJ
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