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General NPI Number Information
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NPI Number | 1336826056
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Entity Type | Individual
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Provider Name | KAITLYN MARIE TURNER
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Gender | Female
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Dates
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Enumeration Date | 07/04/2023
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 4541 N BENTWOOD DR
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City | SAN ANGELO
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State | TX
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Zip | 76904-8229
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Country | US
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Telephone | 325-939-2650
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Fax |
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Provider Business Mailing Address
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Address Line | 6133 SHERWOOD WAY APT 1212
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City | SAN ANGELO
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State | TX
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Zip | 76901-5633
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Country | US
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Telephone | 864-624-7845
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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