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General NPI Number Information
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NPI Number | 1508412867
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Entity Type | Individual
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Provider Name | KAYLIN FELICE GOODWIN DPT
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Gender | Female
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Dates
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Enumeration Date | 08/13/2019
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Last Update Date | 06/25/2024
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Provider Practice Location Address
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Address Line | 9420 HIGHWAY 188 SUITE 9A
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City | IRVINGTON
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State | AL
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Zip | 36544-3393
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Country | US
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Telephone | 251-243-2676
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Fax | 251-244-3262
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Provider Business Mailing Address
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Address Line | 4850 A DAWES LANE E
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City | MOBILE
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State | AL
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Zip | 36619-9029
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Country | US
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Telephone | 251-243-2676
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Fax | 251-244-3262
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH9511
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License Number State | AL
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