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General NPI Number Information
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NPI Number | 1346165461
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Entity Type | Individual
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Provider Name | MISS KAYLA KHADIJAH WRIGHT
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Gender | Female
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 1010 N 102ND ST STE 300
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City | OMAHA
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State | NE
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Zip | 68114-2122
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Country | US
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Telephone | 186-663-3354
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Fax |
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Provider Business Mailing Address
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Address Line | 2113 HIGHWAY 417
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City | WOODRUFF
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State | SC
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Zip | 29388-9447
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Country | US
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Telephone | 864-804-1766
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 4653
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License Number State | SC
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