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General NPI Number Information
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NPI Number | 1083508808
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Entity Type | Individual
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Provider Name | KAYLA SLEIGHT DMD
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Gender | Female
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 300 JUBILEE DR
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City | PEABODY
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State | MA
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Zip | 01960-4068
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Country | US
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Telephone | 855-272-7296
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Fax |
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Provider Business Mailing Address
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Address Line | 607 S PRINCETON AVE
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City | VILLA PARK
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State | IL
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Zip | 60181-2861
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Country | US
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Telephone | 801-368-5735
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 019.036030
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License Number State | IL
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