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General NPI Number Information
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NPI Number | 1457822397
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Entity Type | Individual
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Provider Name | KAYLA ANTOINETTE PAVELSKI MS, AT. ATC
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Gender | Female
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Dates
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Enumeration Date | 12/17/2018
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 9000 E CHAPARRAL RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85256-2626
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Country | US
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Telephone | 480-423-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 445 E GERMANN RD APT 1116
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City | GILBERT
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State | AZ
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Zip | 85297-4202
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Country | US
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Telephone | 715-310-2905
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | ATR-009222
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License Number State | AZ
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