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General NPI Number Information
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NPI Number | 1467943274
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Entity Type | Individual
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Provider Name | KAITLYN JO CARTWRIGHT MD
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Gender | Female
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Dates
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Enumeration Date | 05/29/2018
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 2195 HARRODSBURG RD FL 2
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City | LEXINGTON
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State | KY
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Zip | 40504-3516
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Country | US
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Telephone | 859-562-1868
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Fax | 859-257-0421
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Provider Business Mailing Address
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Address Line | 1500 E MEDICAL CENTER DR MPB #D3230
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City | ANN ARBOR
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State | MI
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Zip | 48109-5000
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Country | US
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Telephone | 734-647-1774
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Fax | 734-763-4208
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4301114951
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | 59768
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License Number State | KY
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