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General NPI Number Information
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NPI Number | 1215131800
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Entity Type | Individual
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Provider Name | KYLE DAVID STUART MD
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Gender | Male
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 1015 N CARROLL AVE SUITE 2000
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City | DALLAS
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State | TX
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Zip | 75204-6613
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Country | US
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Telephone | 214-824-7744
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Fax |
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Provider Business Mailing Address
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Address Line | 1015 N CARROLL AVE SUITE 2000
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City | DALLAS
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State | TX
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Zip | 75204-6613
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Country | US
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Telephone | 214-824-7744
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A114085
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | DR.0071755
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | N7005
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License Number State | TX
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