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General NPI Number Information
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NPI Number | 1740176569
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Entity Type | Individual
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Provider Name | KAITLYN ANN CARR DDS
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Gender | Female
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 9600 E STATE ROUTE 350
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City | RAYTOWN
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State | MO
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Zip | 64133-6513
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Country | US
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Telephone | 816-356-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 13117 W 137TH PL
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City | OVERLAND PARK
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State | KS
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Zip | 66221-4121
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Country | US
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Telephone | 913-488-2513
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2025022986
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License Number State | MO
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