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General NPI Number Information
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NPI Number | 1992665988
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Entity Type | Individual
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Provider Name | KELLY CECELIA WHELAN
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Gender | Female
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 305 CHARLTON AVE WEST UNIT 2
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City | HAMILTON
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State | ONTARIO
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Zip | L8P 2E4
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Country | CA
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | 305 CHARLTON AVE WEST UNIT 2
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City | HAMILTON
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State | ONTARIO
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Zip | L8P 2E4
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Country | CA
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Telephone |
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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 | 054651-01
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License Number State | NY
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