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General NPI Number Information
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NPI Number | 1831716141
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Entity Type | Individual
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Provider Name | KELLEY A GOSLING MS, ATC, LAT
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Gender | Female
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Dates
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Enumeration Date | 07/02/2020
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 1650 S POINCIANA BLVD
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City | KISSIMMEE
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State | FL
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Zip | 34758-2046
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Country | US
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Telephone | 407-846-5917
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Fax |
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Provider Business Mailing Address
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Address Line | 1280 VININGS LN
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City | CASSELBERRY
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State | FL
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Zip | 32707-6452
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Country | US
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Telephone |
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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