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General NPI Number Information
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NPI Number | 1578810537
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Entity Type | Organization
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Legal Business Name | KYLE WALKINGTON, DDS, PLLC
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Dates
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Enumeration Date | 08/09/2012
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Last Update Date | 08/20/2012
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Provider Practice Location Address
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Address Line | 7447 HILLCREST RD STE 106
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City | FRISCO
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State | TX
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Zip | 75035-6203
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Country | US
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Telephone | 989-372-0150
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Fax |
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Provider Business Mailing Address
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Address Line | 7447 HILLCREST RD STE 106
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City | FRISCO
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State | TX
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Zip | 75035-6203
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Country | US
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Telephone | 989-372-0150
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. KYLE J. WALKINGTON
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Credential | DDS
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Telephone | 989-372-0150
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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 | 27907
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License Number State | TX
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