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General NPI Number Information
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NPI Number | 1619727690
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Entity Type | Organization
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Legal Business Name | KBS INSIGHTS LLC
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Dates
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Enumeration Date | 03/25/2024
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 3298 SUMMIT BLVD BLDG 22, SUITE D1
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City | PENSACOLA
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State | FL
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Zip | 32503-8313
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Country | US
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Telephone | 850-977-9215
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Fax |
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Provider Business Mailing Address
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Address Line | 3298 SUMMIT BLVD BLDG 22, SUITE D1
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City | PENSACOLA
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State | FL
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Zip | 32503-8313
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Country | US
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Telephone | 850-977-9215
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. KEVIN SHACKET
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Credential | PSYD
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Telephone | 850-977-9215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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