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General NPI Number Information
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NPI Number | 1912485244
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Entity Type | Individual
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Provider Name | KELLI HILL GOLDSBOROUGH FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/30/2018
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Last Update Date | 04/10/2026
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Provider Practice Location Address
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Address Line | 29675 POINT LOOKOUT RD
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City | MECHANICSVILLE
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State | MD
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Zip | 20659-5240
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Country | US
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Telephone | 240-434-6060
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Fax | 301-363-0616
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Provider Business Mailing Address
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Address Line | 21580 PEABODY ST PO BOX 316
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City | LEONARDTOWN
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State | MD
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Zip | 20650-2962
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Country | US
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Telephone | 301-475-4330
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Fax | 301-475-4350
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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 | R165295
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | R165295
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | R165295
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License Number State | MD
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