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General NPI Number Information
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NPI Number | 1902793367
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Entity Type | Individual
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Provider Name | KELSEY OVERBAY AUD CCC-A
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Gender | Female
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 4401 PENN AVE
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City | PITTSBURGH
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State | PA
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Zip | 15224-1342
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Country | US
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Telephone | 412-692-7714
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Fax |
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Provider Business Mailing Address
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Address Line | 125 COMMUNITY CT
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City | PITTSBURGH
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State | PA
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Zip | 15205-1607
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Country | US
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Telephone | 301-968-5968
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AT007043
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License Number State | PA
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