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General NPI Number Information
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NPI Number | 1962603712
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Entity Type | Individual
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Provider Name | KELLY ANN STORER MPT
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Gender | Female
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 WYOMING ST
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City | DAYTON
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State | OH
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Zip | 45409
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Country | US
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Telephone | 937-208-3078
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Fax |
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Provider Business Mailing Address
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Address Line | 1690 PIPER LN #102
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City | CENTERVILLE
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State | OH
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Zip | 45440
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Country | US
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Telephone | 937-248-9027
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 10520
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License Number State | OH
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