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General NPI Number Information
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NPI Number | 1477160315
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Entity Type | Individual
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Provider Name | KAILI KENNEDY
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Gender | Female
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Dates
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Enumeration Date | 09/24/2020
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 950 E BELT LINE RD STE 100
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City | CEDAR HILL
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State | TX
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Zip | 75104-2423
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Country | US
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Telephone | 254-265-4515
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Fax |
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Provider Business Mailing Address
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Address Line | 542 AMHERST ST STE B
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City | NASHUA
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State | NH
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Zip | 03063-1016
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 4584
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License Number State | TX
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