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General NPI Number Information
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NPI Number | 1306642103
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Entity Type | Individual
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Provider Name | KAYLEE LARTZ
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Gender | Female
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 396 WASHINGTON ST # 266
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City | WELLESLEY HILLS
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State | MA
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Zip | 02481-6209
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Country | US
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Telephone | 855-438-8331
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Fax |
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Provider Business Mailing Address
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Address Line | 8038 BIENVILLE DR APT C306
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City | NASHVILLE
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State | TN
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Zip | 37211-7543
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LCSW2144069
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 14889
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License Number State | TN
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