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General NPI Number Information
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NPI Number | 1013745199
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Entity Type | Organization
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Legal Business Name | KAYT WHITEBIRD ORANGE PHD
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Dates
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Enumeration Date | 07/22/2024
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 2511 W MALLORY ST
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City | PENSACOLA
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State | FL
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Zip | 32505-6025
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Country | US
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Telephone | 575-973-7417
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Fax |
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Provider Business Mailing Address
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Address Line | 2511 W MALLORY ST
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City | PENSACOLA
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State | FL
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Zip | 32505-6025
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Country | US
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Telephone | 575-973-7417
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | KAYT WHITEBIRD ORANGE
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Credential |
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Telephone | 575-973-7417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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