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General NPI Number Information
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NPI Number | 1548622632
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Entity Type | Individual
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Provider Name | KYLE DILUZIO MD, DMD
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Gender | Male
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Dates
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Enumeration Date | 03/28/2016
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Last Update Date | 11/16/2022
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Provider Practice Location Address
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Address Line | 445 HENSLEE DR
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City | DICKSON
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State | TN
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Zip | 37055-2166
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Country | US
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Telephone | 615-441-1441
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Fax | 615-697-6546
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Provider Business Mailing Address
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Address Line | 445 HENSLEE DR
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City | DICKSON
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State | TN
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Zip | 37055-2166
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Country | US
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Telephone | 615-441-1441
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Fax | 615-697-6546
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 11822
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License Number State | TN
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