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General NPI Number Information
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NPI Number | 1902753635
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Entity Type | Individual
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Provider Name | KACEE MULLIKIN
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Gender | Female
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Dates
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Enumeration Date | 03/12/2026
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 1013 DODD ST
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City | LONGVIEW
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State | TX
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Zip | 75603-5815
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Country | US
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Telephone | 430-558-1335
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Fax |
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Provider Business Mailing Address
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Address Line | 606 W RICHARDS ST
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City | OVERTON
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State | TX
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Zip | 75684-1510
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Country | US
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Telephone | 903-354-5654
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | TX
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