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General NPI Number Information
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NPI Number | 1700543733
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Entity Type | Individual
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Provider Name | TAMMY KAYLOR RN
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Gender | Female
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Dates
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Enumeration Date | 11/24/2021
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Last Update Date | 11/24/2021
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Provider Practice Location Address
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Address Line | 1 AKRON GENERAL AVE
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City | AKRON
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State | OH
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Zip | 44307-2432
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Country | US
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Telephone | 330-936-9626
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Fax |
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Provider Business Mailing Address
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Address Line | 232 BACHTEL ST SE
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City | NORTH CANTON
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State | OH
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Zip | 44720-3139
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Country | US
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Telephone | 330-936-9626
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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 | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | RN.477697
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License Number State | OH
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