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General NPI Number Information
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NPI Number | 1851822050
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Entity Type | Individual
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Provider Name | KELSEY DEVOE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/21/2017
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Last Update Date | 11/08/2019
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Provider Practice Location Address
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Address Line | 1 COLLEGE ST
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City | WORCESTER
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State | MA
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Zip | 01610
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Country | US
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Telephone | 508-793-2276
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Fax |
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Provider Business Mailing Address
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Address Line | 1 COLLEGE ST
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City | WORCESTER
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State | MA
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Zip | 01610-2395
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Country | US
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Telephone | 508-793-2276
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 6974
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN2279998
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License Number State | MA
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