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General NPI Number Information
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NPI Number | 1386103216
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Entity Type | Individual
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Provider Name | KAITLYN LEMES ALBRECHT DO
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Gender | Female
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Dates
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Enumeration Date | 03/19/2019
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 13453 N MAIN ST STE 503
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City | JACKSONVILLE
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State | FL
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Zip | 32218-2774
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Country | US
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Telephone | 904-491-0177
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Fax |
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Provider Business Mailing Address
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Address Line | 3940 GADSDEN RD
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City | JACKSONVILLE
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State | FL
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Zip | 32207-6307
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Country | US
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Telephone | 954-604-0530
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | OS18671
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License Number State | FL
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