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General NPI Number Information
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NPI Number | 1134039886
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Entity Type | Individual
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Provider Name | KAITLYN MARIE CALKINS
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Gender | Female
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 3400 N WOODS LN
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City | ROGERS
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State | AR
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Zip | 72756-6712
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Country | US
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Telephone | 479-364-7764
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Fax |
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Provider Business Mailing Address
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Address Line | 3101 N WOODS LN APT C1
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City | LITTLE FLOCK
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State | AR
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Zip | 72756-8875
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Country | US
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Telephone | 479-364-7764
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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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