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General NPI Number Information
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NPI Number | 1407333966
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Entity Type | Individual
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Provider Name | KAITLYN ANN HANDLEY DC
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Gender | Female
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Dates
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Enumeration Date | 07/26/2018
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 265 W MAIN ST STE 201
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City | KENT
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State | OH
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Zip | 44240-2461
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Country | US
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Telephone | 800-941-6672
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Fax |
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Provider Business Mailing Address
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Address Line | 240 SAND RUN RD
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City | AKRON
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State | OH
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Zip | 44313-5334
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Country | US
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Telephone | 270-562-2299
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 05358
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License Number State | OH
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