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NPI 1023405107

NPI 1023405107 : KAILA WILKIE M.S. : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1023405107
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    Entity Type          |    Individual 
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    Provider Name        |    KAILA WILKIE M.S.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/16/2015
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    Last Update Date     |    02/23/2025
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Provider Practice Location Address
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    Address Line         |    11330 FARRAH 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78748-1959
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    Country              |    US
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    Telephone            |    151-228-0203
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    507 PRESSLER ST APT 3123 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78703-5189
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    Country              |    US
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    Telephone            |    724-493-7378
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    146012665
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    118783
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    License Number State |    TX
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