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General NPI Number Information
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NPI Number | 1154688521
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Entity Type | Individual
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Provider Name | KYLE ANDREW MCCASKEY DDS, MD
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Gender | Male
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Dates
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Enumeration Date | 04/23/2012
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 25400 US HIGHWAY 19 N STE 122
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City | CLEARWATER
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State | FL
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Zip | 33763-2143
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Country | US
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Telephone | 727-669-6411
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Fax |
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Provider Business Mailing Address
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Address Line | 410 N PLANT AVE
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City | PLANT CITY
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State | FL
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Zip | 33563-7248
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Country | US
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Telephone | 813-755-9102
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DN21659
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License Number State | FL
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