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General NPI Number Information
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NPI Number | 1609765262
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Entity Type | Individual
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Provider Name | KAYLA LEANN CHEN
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Gender | Female
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 12995 S CLEVELAND AVE STE 184A
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City | FORT MYERS
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State | FL
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Zip | 33907-7703
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Country | US
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Telephone | 239-226-2727
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Fax | 239-939-9876
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Provider Business Mailing Address
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Address Line | 6321 DANIELS PKWY STE 200
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City | FORT MYERS
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State | FL
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Zip | 33912-4710
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Country | US
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Telephone | 239-416-8101
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Fax | 239-402-8601
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9120057
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License Number State | FL
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