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General NPI Number Information
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NPI Number | 1740147636
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Entity Type | Organization
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Legal Business Name | KYLE SPARKES DPT PLLC
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 11901 N MACARTHUR BLVD STE G2
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City | OKLAHOMA CITY
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State | OK
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Zip | 73162-1854
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Country | US
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Telephone | 405-633-0783
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Fax | 405-896-8414
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Provider Business Mailing Address
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Address Line | 10428 NW 37TH ST
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City | YUKON
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State | OK
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Zip | 73099-3209
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Country | US
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Telephone | 405-633-0783
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Fax | 405-896-8414
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Authorized Official
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Title or Position | OWNER
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Name | KYLE SPARKES
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Credential |
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Telephone | 405-633-0783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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