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General NPI Number Information
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NPI Number | 1619866076
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Entity Type | Individual
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Provider Name | KYLE ZACHARY HARVEY DDS
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Gender | Male
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 1915 MAGUIRE RD STE 101
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City | WINDERMERE
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State | FL
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Zip | 34786-7938
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Country | US
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Telephone | 321-603-3030
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Fax |
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Provider Business Mailing Address
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Address Line | 420 E CHURCH ST UNIT 620
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City | ORLANDO
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State | FL
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Zip | 32801-2789
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Country | US
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Telephone | 813-924-5973
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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 | 30557
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License Number State | FL
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