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General NPI Number Information
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NPI Number | 1073304408
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Entity Type | Individual
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Provider Name | KAYLEE M QUALTERIA
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Gender | Female
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 1241 N FRONT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19122-4601
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Country | US
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Telephone | 267-807-0550
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Fax |
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Provider Business Mailing Address
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Address Line | 3255 DOVECOTE DR
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City | QUAKERTOWN
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State | PA
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Zip | 18951-5028
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Country | US
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Telephone | 484-624-9418
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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