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General NPI Number Information
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NPI Number | 1457027450
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Entity Type | Individual
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Provider Name | KAYLEIGH PAIGE GUILLORY RN
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Gender | Female
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Dates
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Enumeration Date | 08/19/2021
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Last Update Date | 08/24/2021
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Provider Practice Location Address
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Address Line | 5604 COLISEUM BLVD STE A
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City | ALEXANDRIA
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State | LA
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Zip | 71303-3993
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Country | US
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Telephone | 318-487-5282
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Fax |
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Provider Business Mailing Address
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Address Line | 322 BROOKWOOD DR
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City | WOODWORTH
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State | LA
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Zip | 71485-7905
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Country | US
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Telephone | 318-623-2553
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 201818
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License Number State | LA
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