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General NPI Number Information
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NPI Number | 1215724182
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Entity Type | Individual
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Provider Name | KAITLYN ADDY NOWLING
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Gender | Female
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 1600 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32610-3003
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Country | US
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Telephone | 352-265-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 495 TURKEY CRK
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City | ALACHUA
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State | FL
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Zip | 32615-9303
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Country | US
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Telephone | 352-562-2218
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Fax | 352-562-2218
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9593887
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License Number State | FL
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