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General NPI Number Information
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NPI Number | 1801962162
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Entity Type | Individual
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Provider Name | NANCY ANNE KELLEY LPC
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Gender | Female
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 604 GREEN VALLEY RD SUITE 400
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City | GREENSBORO
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State | NC
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Zip | 27408-7728
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Country | US
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Telephone | 336-392-1372
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Fax |
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Provider Business Mailing Address
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Address Line | 1316 PISGAH CHURCH RD
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City | GREENSBORO
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State | NC
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Zip | 27455-3233
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Country | US
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Telephone | 336-392-1372
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3948
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License Number State | NC
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