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General NPI Number Information
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NPI Number | 1225656184
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Entity Type | Individual
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Provider Name | KYLE MICHAEL MCCAULEY MD
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Gender | Male
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Dates
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Enumeration Date | 07/08/2020
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 920 STANTON L YOUNG BLVD STE 1140
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5036
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Country | US
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Telephone | 405-271-4351
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Fax | 405-271-8695
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Provider Business Mailing Address
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Address Line | 1003 BERRY PATCH
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City | MCALESTER
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State | OK
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Zip | 74501-7170
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Country | US
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Telephone | 918-429-3927
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 38069
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License Number State | OK
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