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General NPI Number Information
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NPI Number | 1942080635
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Entity Type | Individual
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Provider Name | KAYLA HOUCK
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Gender | Female
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Dates
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Enumeration Date | 10/02/2023
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Last Update Date | 10/02/2023
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Provider Practice Location Address
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Address Line | 14605 SR 70-E
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202
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Country | US
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Telephone | 941-253-1004
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Fax |
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Provider Business Mailing Address
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Address Line | 6406 BROOK VILLAGE CV APT 108
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City | BRADENTON
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State | FL
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Zip | 34202-2732
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Country | US
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Telephone | 727-687-2406
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS66430
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License Number State | FL
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