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General NPI Number Information
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NPI Number | 1740807882
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Entity Type | Individual
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Provider Name | KAYLA MYERS FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/05/2020
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 27901 WOODWARD AVE STE 220
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City | BERKLEY
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State | MI
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Zip | 48072-0918
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Country | US
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Telephone | 248-556-5582
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Fax | 248-850-7145
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Provider Business Mailing Address
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Address Line | 1210 MINERS RUN
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City | ROCHESTER
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State | MI
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Zip | 48306-4803
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Country | US
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Telephone | 586-536-0550
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704304313
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License Number State | MI
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