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General NPI Number Information
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NPI Number | 1891442588
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Entity Type | Individual
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Provider Name | KAYLA K STEWART LMFTA
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Gender | Female
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Dates
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Enumeration Date | 03/03/2022
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Last Update Date | 03/03/2022
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Provider Practice Location Address
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Address Line | 89 OLD TROLLEY RD STE 205
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City | SUMMERVILLE
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State | SC
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Zip | 29485-4951
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Country | US
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Telephone | 843-256-8815
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Fax |
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Provider Business Mailing Address
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Address Line | 5100 LUDWELL LANE UNIT 5104
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City | SUMMERVILLE
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State | SC
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Zip | 29486
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Country | US
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Telephone | 215-385-2420
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 7925
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License Number State | SC
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