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General NPI Number Information
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NPI Number | 1932812765
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Entity Type | Individual
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Provider Name | KAYLYN MUNROE
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Gender | Female
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Dates
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Enumeration Date | 12/26/2022
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Last Update Date | 12/26/2022
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Provider Practice Location Address
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Address Line | 2112 SUNNYDALE BLVD STE B
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City | CLEARWATER
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State | FL
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Zip | 33765-1207
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Country | US
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Telephone | 727-796-2904
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Fax |
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Provider Business Mailing Address
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Address Line | 106 E MAIN ST
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City | SPRING ARBOR
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State | MI
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Zip | 49283-9701
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Country | US
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Telephone |
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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 | 11022523
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License Number State | FL
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