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General NPI Number Information
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NPI Number | 1225988843
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Entity Type | Individual
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Provider Name | CAYLA DERRINGER
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Gender | Female
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 221 SW STONEGATE TER STE 101
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City | LAKE CITY
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State | FL
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Zip | 32024-3463
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Country | US
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Telephone | 386-755-0421
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Fax |
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Provider Business Mailing Address
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Address Line | 16203 89TH RD
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City | LIVE OAK
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State | FL
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Zip | 32060-0827
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Country | US
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Telephone | 386-344-9180
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | FL
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