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General NPI Number Information
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NPI Number | 1285508770
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Entity Type | Individual
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Provider Name | KAITLIN M PACE
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Gender | Female
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 217 SUNDANCE CIR
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City | STATESVILLE
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State | NC
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Zip | 28625-1656
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Country | US
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Telephone | 336-262-4921
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Fax |
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Provider Business Mailing Address
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Address Line | 217 SUNDANCE CIR
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City | STATESVILLE
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State | NC
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Zip | 28625-1656
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Country | US
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Telephone |
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 324168
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License Number State | NC
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