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General NPI Number Information
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NPI Number | 1700739331
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Entity Type | Individual
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Provider Name | KYLE MILLS LEE LPN
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Gender | Male
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 6800 ALPHA DR APT 186
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City | KENT
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State | OH
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Zip | 44240-4135
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Country | US
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Telephone | 330-577-3745
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Fax | 330-577-3745
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Provider Business Mailing Address
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Address Line | 6800 ALPHA DR APT 186
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City | KENT
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State | OH
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Zip | 44240-4135
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Country | US
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Telephone | 330-577-3745
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Fax | 330-577-3745
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LPN.185004.MEDS-IV
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License Number State | OH
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