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General NPI Number Information
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NPI Number | 1396129276
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Entity Type | Individual
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Provider Name | KAYLA JANE CAIN LCSW, LCAS, MSW
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Gender | Female
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Dates
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Enumeration Date | 07/10/2015
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Last Update Date | 12/07/2020
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Provider Practice Location Address
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Address Line | 445 DOLLEY MADISON RD STE 410
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City | GREENSBORO
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State | NC
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Zip | 27410-5167
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Country | US
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Telephone | 336-292-1510
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Fax | 336-292-0679
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Provider Business Mailing Address
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Address Line | 3010 W CORNWALLIS DR
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City | GREENSBORO
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State | NC
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Zip | 27408-6730
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Country | US
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Telephone | 828-291-7682
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCAS-21821
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C010847
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License Number State | NC
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