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General NPI Number Information
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NPI Number | 1225609910
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Entity Type | Individual
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Provider Name | KAYLEIGH BETH PRINGLE
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Gender | Female
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Dates
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Enumeration Date | 07/05/2021
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 400 BIZZELL ST
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City | COLLEGE STATION
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State | TX
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Zip | 77843-0001
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Country | US
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Telephone | 979-845-3211
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Fax |
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Provider Business Mailing Address
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Address Line | 1705 CHAMPIONS DR
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City | NAVASOTA
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State | TX
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Zip | 77868-1645
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Country | US
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Telephone | 903-241-5980
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT9460
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License Number State | TX
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