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General NPI Number Information
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NPI Number | 1114715802
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Entity Type | Individual
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Provider Name | KAYLA SKYE RODRIGUEZ DPT, PT
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Gender | Female
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 1200 LEXINGTON GREEN LN
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City | SANFORD
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State | FL
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Zip | 32771-1013
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Country | US
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Telephone | 407-322-3442
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Fax | 407-322-8404
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Provider Business Mailing Address
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Address Line | 100 E 2ND AVE STE 210
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City | ROME
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State | GA
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Zip | 30161-1718
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Country | US
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Telephone | 407-322-3442
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Fax | 407-322-8404
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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 | 308732
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT43141
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License Number State | FL
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