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General NPI Number Information
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NPI Number | 1477357168
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Entity Type | Individual
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Provider Name | KAILEY LOVETTE
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Gender |
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 611 STATION SQUARE CT
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City | CHESAPEAKE
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State | VA
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Zip | 23320-0705
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Country | US
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Telephone | 757-404-4840
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2956
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City | CHESAPEAKE
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State | VA
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Zip | 23327-2956
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-25-424344
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License Number State | VA
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