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General NPI Number Information
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NPI Number | 1073969598
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Entity Type | Individual
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Provider Name | KRISTEN SIMPSON DC
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Gender | Female
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Dates
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Enumeration Date | 05/13/2016
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Last Update Date | 10/06/2016
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Provider Practice Location Address
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Address Line | 211-B DELAWARE STREET
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City | LEAVENWORTH
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State | KS
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Zip | 66048
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Country | US
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Telephone | 913-225-9313
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Fax | 913-227-4766
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Provider Business Mailing Address
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Address Line | 211B DELAWARE STREET
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City | LEAVENWORTH
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State | KS
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Zip | 66048
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Country | US
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Telephone | 913-225-9313
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Fax | 913-227-4766
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 01-05792
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License Number State | KS
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