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General NPI Number Information
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NPI Number | 1124879978
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Entity Type | Individual
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Provider Name | KAYLA JESSIE ELIZABETH CLOKIE DDS
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Gender | Female
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Dates
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Enumeration Date | 03/29/2024
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 10930 MAGNOLIA BLVD
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-3903
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Country | US
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Telephone | 818-616-7817
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Fax |
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Provider Business Mailing Address
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Address Line | 12 CHIPSTEAD RD
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City | NORTH YORK
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State | ONTARIO
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Zip | M3B3E6
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Country | CA
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DDS111490
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License Number State | CA
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