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General NPI Number Information
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NPI Number | 1629836135
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Entity Type | Individual
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Provider Name | KAYLA BOWLER DPT
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Gender | Female
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Dates
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Enumeration Date | 03/08/2024
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Last Update Date | 03/08/2024
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Provider Practice Location Address
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Address Line | 645 BALTIMORE ANNAPOLIS BLVD STE 111
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City | SEVERNA PARK
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State | MD
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Zip | 21146-3956
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Country | US
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Telephone | 410-544-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 3811 LANCASTER RING RD
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-8791
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305215819
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License Number State | VA
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