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General NPI Number Information
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NPI Number | 1164067542
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Entity Type | Individual
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Provider Name | KAYLA MEYER LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/09/2019
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Last Update Date | 08/07/2023
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Provider Practice Location Address
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Address Line | 5326 ENCHANTED LN
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City | DALLAS
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State | TX
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Zip | 75227-1421
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Country | US
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Telephone | 386-479-3204
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Fax |
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Provider Business Mailing Address
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Address Line | 3839 MCKINNEY AVE STE 155
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City | DALLAS
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State | TX
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Zip | 75204-1488
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Country | US
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Telephone | 469-319-0292
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW19532
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 107370
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License Number State | TX
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