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General NPI Number Information
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NPI Number | 1306813704
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Entity Type | Individual
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Provider Name | JAMES M KYLE MD
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Gender | Male
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Dates
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Enumeration Date | 03/03/2006
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 1110 A1A N #101
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City | PONTE VEDRA
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State | FL
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Zip | 32082-4070
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Country | US
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Telephone | 904-280-8657
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Fax | 904-280-8659
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Provider Business Mailing Address
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Address Line | 1909 OLD POWELL RD
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City | LEWISBURG
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State | WV
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Zip | 24901-1823
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME83612
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 039614
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License Number State | GA
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