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General NPI Number Information
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NPI Number | 1679766133
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Entity Type | Individual
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Provider Name | KYLE JOSEPH MOYLES M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/19/2007
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Last Update Date | 03/13/2020
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Provider Practice Location Address
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Address Line | 1310 W EAU GALLIE BLVD SUITE E
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City | MELBOURNE
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State | FL
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Zip | 32935-5300
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Country | US
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Telephone | 321-500-4263
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Fax | 888-782-9622
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Provider Business Mailing Address
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Address Line | 1310 W EAU GALLIE BLVD SUITE E
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City | MELBOURNE
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State | FL
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Zip | 32935-5300
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Country | US
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Telephone | 321-500-4263
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Fax | 888-782-9622
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME113873
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | ME113873
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License Number State | FL
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