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General NPI Number Information
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NPI Number | 1265971113
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Entity Type | Individual
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Provider Name | KAYLEE MECCA D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/13/2017
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Last Update Date | 01/13/2024
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Provider Practice Location Address
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Address Line | 2104 E HENRIETTA RD
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City | ROCHESTER
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State | NY
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Zip | 14623-4518
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Country | US
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Telephone | 585-334-8350
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Fax |
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Provider Business Mailing Address
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Address Line | 89 STAGLEN DR
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City | HENRIETTA
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State | NY
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Zip | 14467-9011
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Country | US
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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 | 06088901
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN22729
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License Number State | FL
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