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General NPI Number Information
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NPI Number | 1700546116
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Entity Type | Individual
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Provider Name | KAYLA MCCREARY PT
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Gender | Female
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Dates
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Enumeration Date | 12/27/2021
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Last Update Date | 12/27/2021
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Provider Practice Location Address
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Address Line | 2100 W WHITE ST STE 290
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City | ANNA
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State | TX
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Zip | 75409-5180
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Country | US
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Telephone | 760-602-4182
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Fax |
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Provider Business Mailing Address
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Address Line | 114 WOOD ST UNIT A
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City | PRINCETON
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State | TX
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Zip | 75407-5531
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Country | US
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Telephone | 214-693-7227
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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 | 3128112
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License Number State | TX
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