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General NPI Number Information
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NPI Number | 1548109218
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Entity Type | Individual
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Provider Name | MS. KAYLA RACHELLE SUAREZ SANDERS
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Gender | Female
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 19503 GALWAY AVE
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City | CARSON
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State | CA
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Zip | 90746-1923
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Country | US
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Telephone | 562-595-9021
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Fax |
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Provider Business Mailing Address
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Address Line | 8132 CATHERINE AVE
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City | STANTON
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State | CA
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Zip | 90680-3951
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Country | US
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Telephone | 562-595-9021
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | ASW135566
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License Number State | CA
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