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General NPI Number Information
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NPI Number | 1144034497
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Entity Type | Individual
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Provider Name | KAYLA FORAN
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Gender | Female
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Dates
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Enumeration Date | 02/06/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 318 E HIGHWAY 20
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City | ONEILL
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State | NE
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Zip | 68763-2104
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Country | US
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Telephone | 402-336-4405
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 145
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City | ONEILL
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State | NE
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Zip | 68763-0145
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Country | US
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Telephone |
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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