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General NPI Number Information
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NPI Number | 1558927871
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Entity Type | Individual
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Provider Name | KAYLA BROWN
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Gender | Female
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Dates
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Enumeration Date | 05/13/2019
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Last Update Date | 05/13/2019
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Provider Practice Location Address
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Address Line | 3155 AVENUE C
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City | BILLINGS
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State | MT
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Zip | 59102-8109
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Country | US
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Telephone | 406-656-8818
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Fax |
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Provider Business Mailing Address
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Address Line | 76 5TH ST
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City | GLENS FALLS
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State | NY
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Zip | 12801-4139
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Country | US
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Telephone | 518-232-4012
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 17056
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License Number State | MT
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