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General NPI Number Information
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NPI Number | 1891658258
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Entity Type | Individual
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Provider Name | KELSEY LAUREN MARSHALL WHNP
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Gender | Female
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1919 STATE ST STE 340
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City | NEW ALBANY
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State | IN
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Zip | 47150-6807
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Country | US
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Telephone | 812-945-5233
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Fax | 812-945-2804
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Provider Business Mailing Address
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Address Line | 1919 STATE ST STE 340
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City | NEW ALBANY
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State | IN
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Zip | 47150-6807
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Country | US
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Telephone | 812-945-5233
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Fax | 812-945-2804
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 28219992A
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License Number State | IN
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