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General NPI Number Information
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NPI Number | 1376017814
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Entity Type | Individual
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Provider Name | KYLEE BRIANNA CLAY
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Gender | Female
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Dates
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Enumeration Date | 01/17/2019
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 1901 VETERANS MEMORIAL DR
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City | TEMPLE
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State | TX
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Zip | 76504-7445
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Country | US
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Telephone | 251-604-2115
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Fax |
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Provider Business Mailing Address
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Address Line | 8401 GRAYSON TRL
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City | KILLEEN
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State | TX
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Zip | 76542-6868
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 63969
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 69875
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 22062
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License Number State | AL
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