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General NPI Number Information
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NPI Number | 1437702701
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Entity Type | Individual
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Provider Name | KAYLA RAE MILLER
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Gender | Female
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Dates
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Enumeration Date | 07/16/2019
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 1300 N PALAFOX ST STE 103
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City | PENSACOLA
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State | FL
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Zip | 32501-2678
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Country | US
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Telephone | 850-860-2903
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Fax |
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Provider Business Mailing Address
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Address Line | 3665 BRIGHTWOOD LN
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City | PACE
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State | FL
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Zip | 32571-8624
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Country | US
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Telephone | 850-418-3635
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | FL
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