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General NPI Number Information
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NPI Number | 1255078887
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Entity Type | Individual
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Provider Name | DR. KYLE LOFTUS
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Gender | Male
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Dates
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Enumeration Date | 05/16/2022
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 1017 FLATBUSH AVE
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City | BROOKLYN
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State | NY
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Zip | 11226-5429
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Country | US
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Telephone | 201-308-8181
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Fax |
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Provider Business Mailing Address
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Address Line | 140 W 113TH ST APT 3A
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City | NEW YORK
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State | NY
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Zip | 10026-3448
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Country | US
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Telephone | 315-751-6502
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 064845
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License Number State | NY
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