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General NPI Number Information
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NPI Number | 1245046572
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Entity Type | Individual
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Provider Name | KAYLA D BOYT FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/11/2024
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 726 S 8TH ST
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City | GRIFFIN
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State | GA
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Zip | 30224-4827
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Country | US
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Telephone | 770-228-5407
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Fax |
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Provider Business Mailing Address
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Address Line | 315 MUD BRIDGE RD
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City | THE ROCK
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State | GA
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Zip | 30285-2215
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Country | US
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Telephone | 706-601-5676
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN206060
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NUR-APRN-LIC-260741
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License Number State | MT
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