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General NPI Number Information
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NPI Number | 1992404636
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Entity Type | Individual
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Provider Name | KELLY ANN NOVOTNEY FNP
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Gender | Female
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Dates
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Enumeration Date | 03/02/2023
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 699 WALNUT ST STE 400
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City | DES MOINES
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State | IA
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Zip | 50309-3962
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Country | US
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Telephone | 188-759-8007
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Fax |
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Provider Business Mailing Address
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Address Line | 507 CHESOPEIAN TRL
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7740
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Country | US
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Telephone | 773-680-6423
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 73124
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP500015362
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 51998
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License Number State | WY
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024186645
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11032496
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209027322
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | C-RXN.0101519-C-NP
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License Number State | CO
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Taxonomy #8
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AC006813
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License Number State | MD
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A173617
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License Number State | IA
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