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General NPI Number Information
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NPI Number | 1750273272
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Entity Type | Individual
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Provider Name | BROCK ROBERT KITTLE DDS
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Gender | Male
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 965 S POINT RD
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City | BELMONT
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State | NC
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Zip | 28012-9520
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Country | US
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Telephone | 704-800-4009
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Fax |
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Provider Business Mailing Address
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Address Line | 802 ARBORDALE AVE
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City | HIGH POINT
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State | NC
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Zip | 27262-4624
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Country | US
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Telephone | 334-707-0398
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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 | 14327
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License Number State | NC
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