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General NPI Number Information
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NPI Number | 1215825286
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Entity Type | Individual
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Provider Name | CAYLA RAE UNDERWOOD RN, BSN, CBS
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Gender | Female
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 330 DERBY LN
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City | FRANKLIN
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State | TN
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Zip | 37069-4515
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Country | US
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Telephone | 615-393-4544
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Fax |
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Provider Business Mailing Address
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Address Line | 330 DERBY LN
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City | FRANKLIN
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State | TN
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Zip | 37069-4515
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Country | US
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Telephone | 615-393-4544
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 202772
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License Number State | TN
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