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General NPI Number Information
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NPI Number | 1568350627
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Entity Type | Individual
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Provider Name | KIYLA CAVINESS
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Gender | Female
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 202 10TH ST SE STE 225
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City | CEDAR RAPIDS
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State | IA
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Zip | 52403-2419
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Country | US
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Telephone | 319-364-7101
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Fax |
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Provider Business Mailing Address
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Address Line | 202 10TH ST SE STE 225
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City | CEDAR RAPIDS
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State | IA
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Zip | 52403-2419
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A186406
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 133793
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License Number State | IA
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