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General NPI Number Information
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NPI Number | 1689657629
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Entity Type | Individual
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Provider Name | KYLE CAMERON DENNIS PH.D.
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Gender | Male
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 50 IRVING ST NW
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City | WASHINGTON
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State | DC
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Zip | 20422-0001
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Country | US
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Telephone | 202-745-8379
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Fax | 202-745-8579
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Provider Business Mailing Address
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Address Line | 12836 SILVIA LOOP
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City | WOODBRIDGE
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State | VA
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Zip | 22192-5093
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Country | US
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Telephone | 202-745-8379
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Fax | 202-745-8579
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State | IL
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