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General NPI Number Information
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NPI Number | 1609494335
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Entity Type | Individual
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Provider Name | KAYLA MCELROY MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/09/2020
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Last Update Date | 07/09/2020
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Provider Practice Location Address
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Address Line | 4623 TROUSDALE DR
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City | NASHVILLE
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State | TN
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Zip | 37204-4584
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Country | US
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Telephone | 615-301-8431
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Fax |
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Provider Business Mailing Address
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Address Line | 425 LAFEVER RIDGE RD
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City | SILVER POINT
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State | TN
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Zip | 38582-7939
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Country | US
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Telephone | 715-559-7508
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 129433-121
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 21465
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 7274
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License Number State | TN
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