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General NPI Number Information
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NPI Number | 1821940347
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Entity Type | Individual
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Provider Name | KELLY REMY
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Gender | Female
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 10 LEA AVE STE 760
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City | NASHVILLE
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State | TN
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Zip | 37210-3541
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Country | US
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Telephone | 201-526-8484
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Fax |
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Provider Business Mailing Address
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Address Line | 516 N SUMMITT ST
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City | KENDALLVILLE
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State | IN
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Zip | 46755-1450
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Country | US
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Telephone | 727-219-2618
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28199113A
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License Number State | IN
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