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General NPI Number Information
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NPI Number | 1831086313
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Entity Type | Individual
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Provider Name | KAYLA RENE' CARPENTER RN, LMBT
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Gender | Female
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 520 ARBOR HILL RD STE B
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City | KERNERSVILLE
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State | NC
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Zip | 27284-3346
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Country | US
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Telephone | 865-228-1182
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Fax |
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Provider Business Mailing Address
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Address Line | 3524 CONGRESS SQ
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City | KERNERSVILLE
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State | NC
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Zip | 27284-0223
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Country | US
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Telephone | 336-817-8429
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 22097
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 282940
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License Number State | NC
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