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General NPI Number Information
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NPI Number | 1811807951
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Entity Type | Individual
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Provider Name | KYLE MCBRIDE FNP-C
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Gender | Male
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 10 MIRACLE MILE DR
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City | ROCHESTER
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State | NY
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Zip | 14623-5851
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Country | US
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Telephone | 585-275-5321
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Fax |
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Provider Business Mailing Address
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Address Line | 1036 CHERRY HILL LN
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City | WEBSTER
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State | NY
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Zip | 14580-1810
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Country | US
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Telephone | 561-693-8860
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 798887
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License Number State | NY
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