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General NPI Number Information
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NPI Number | 1922502806
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Entity Type | Individual
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Provider Name | KELTON EARL MESSINGER MD
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Gender | Male
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 05/02/2023
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Provider Practice Location Address
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Address Line | 169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL, MSC333
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City | CHARLESTON
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State | SC
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Zip | 29425-0001
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Country | US
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Telephone | 843-792-7179
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Fax |
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Provider Business Mailing Address
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Address Line | 169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL, MSC333
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City | CHARLESTON
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State | SC
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Zip | 29425-0001
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Country | US
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Telephone | 843-792-7179
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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 | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | 0000059293
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 89620
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License Number State | SC
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