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General NPI Number Information
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NPI Number | 1386528669
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Entity Type | Individual
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Provider Name | KAYLA MICHELLE FRIDLEY APRN
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Gender | Female
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 2218 W US HIGHWAY 90 STE 102
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City | LAKE CITY
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State | FL
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Zip | 32055-7281
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Country | US
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Telephone | 386-243-8991
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Fax | 386-243-8997
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Provider Business Mailing Address
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Address Line | 338 NE SEEDLING LOOP
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City | LAKE CITY
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State | FL
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Zip | 32055-6726
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Country | US
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Telephone | 863-447-5811
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Fax | 863-447-5811
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11041279
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License Number State | FL
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