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General NPI Number Information
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NPI Number | 1437026267
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Entity Type | Individual
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Provider Name | KAILEE MACKENZIE PERRY
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Gender | Female
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Dates
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Enumeration Date | 10/17/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 1270 E POWELL RD
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City | LEWIS CENTER
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State | OH
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Zip | 43035-8619
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Country | US
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Telephone | 614-981-2065
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Fax |
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Provider Business Mailing Address
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Address Line | 118 IKE FERGUSON RD
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City | WEST LIBERTY
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State | KY
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Zip | 41472-7455
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Country | US
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Telephone | 614-981-2065
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 009391
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP049947T
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License Number State | OH
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