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General NPI Number Information
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NPI Number | 1457040305
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Entity Type | Individual
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Provider Name | KAITLYNN HARVEY
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Gender | Female
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Dates
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Enumeration Date | 05/05/2023
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 3005 19TH ST STE 700
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City | COLUMBUS
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State | NE
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Zip | 68601-4248
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Country | US
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Telephone | 402-585-0001
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 67
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City | COLUMBUS
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State | NE
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Zip | 68602-0067
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Country | US
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Telephone |
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 7900
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License Number State | NE
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