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General NPI Number Information
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NPI Number | 1871098277
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Entity Type | Individual
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Provider Name | KYLE DOMINIC PIRES MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2018
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Last Update Date | 06/27/2022
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Provider Practice Location Address
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Address Line | 462 1ST AVE FRNT 1
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City | NEW YORK
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State | NY
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Zip | 10016-9198
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Country | US
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Telephone | 212-562-4141
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Fax |
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Provider Business Mailing Address
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Address Line | 736 4TH AVE FL 2
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City | BROOKLYN
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State | NY
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Zip | 11232-1202
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Country | US
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Telephone | 202-236-7169
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 315818
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License Number State | NY
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