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General NPI Number Information
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NPI Number | 1851255707
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Entity Type | Individual
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Provider Name | KAITLYN BAYLESS HAYNIE MPH, RDN
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Gender | Female
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 2303 N PARHAM RD STE 1
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City | HENRICO
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State | VA
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Zip | 23229-3102
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Country | US
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Telephone | 804-828-2467
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Fax |
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Provider Business Mailing Address
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Address Line | 11416 ORCHARD PARK DR APT 434
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City | GLEN ALLEN
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State | VA
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Zip | 23059-5552
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Country | US
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Telephone | 804-514-2765
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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 | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number | 86329673
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License Number State | VA
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