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General NPI Number Information
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NPI Number | 1689286262
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Entity Type | Individual
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Provider Name | KAYLA DAWN METZ NP
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Gender | Female
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Dates
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Enumeration Date | 08/17/2020
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Last Update Date | 12/08/2020
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Provider Practice Location Address
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Address Line | 101 HUNTERS MOUNTAIN PKWY
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City | TROY
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State | AL
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Zip | 36079-5895
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Country | US
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Telephone | 334-465-7056
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Fax | 833-696-0057
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Provider Business Mailing Address
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Address Line | PO BOX 130
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City | WETUMPKA
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State | AL
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Zip | 36092-0003
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Country | US
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Telephone | 334-567-4311
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Fax | 334-514-3686
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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 | 1-134380
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License Number State | AL
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