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General NPI Number Information
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NPI Number | 1962900514
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Entity Type | Individual
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Provider Name | KAITLYN HENSLEY
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Gender | Female
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Dates
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Enumeration Date | 01/30/2018
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Last Update Date | 04/07/2023
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Provider Practice Location Address
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Address Line | 325 E HILLCREST DR STE 115
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-7782
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Country | US
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Telephone | 805-279-8351
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Fax |
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Provider Business Mailing Address
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Address Line | 722 DANVERS CIR
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City | NEWBURY PARK
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State | CA
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Zip | 91320-5419
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Country | US
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Telephone | 805-279-8351
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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 | 122337
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License Number State | CA
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Taxonomy #2
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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 |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 137761
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License Number State | CA
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