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General NPI Number Information
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NPI Number | 1801885017
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Entity Type | Individual
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Provider Name | TIMOTHY A KELSCH MD
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Gender | Male
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Dates
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Enumeration Date | 10/19/2005
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Last Update Date | 11/06/2012
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Provider Practice Location Address
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Address Line | 3501 N SCOTTSDALE RD #160
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City | SCOTTSDALE
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State | AZ
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Zip | 85251
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Country | US
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Telephone | 480-273-8448
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Fax | 480-273-8720
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Provider Business Mailing Address
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Address Line | 3501 N SCOTTSDALE RD #160
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City | SCOTTSDALE
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State | AZ
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Zip | 85251
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Country | US
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Telephone | 480-273-8448
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Fax | 480-273-8720
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 01055967A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 40325
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License Number State | AZ
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