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General NPI Number Information
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NPI Number | 1063347656
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Entity Type | Individual
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Provider Name | KAYLEE PERRY LMSW
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Gender | Female
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 3445 INGLESIDE BLVD
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City | LADSON
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State | SC
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Zip | 29456-4142
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Country | US
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Telephone | 843-797-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 10 S ANDERSON AVE APT A
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City | CHARLESTON
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State | SC
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Zip | 29412-3764
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Country | US
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Telephone | 919-508-7220
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 16245
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License Number State | SC
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