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General NPI Number Information
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NPI Number | 1134751282
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Entity Type | Individual
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Provider Name | DR. KYLE HEMSLEY
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Gender | Male
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Dates
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Enumeration Date | 02/06/2020
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Last Update Date | 02/06/2020
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Provider Practice Location Address
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Address Line | 650 S ROCK BLVD
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City | RENO
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State | NV
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Zip | 89502-4141
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Country | US
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Telephone | 775-391-3151
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Fax |
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Provider Business Mailing Address
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Address Line | 765 SIENNA STATION WAY
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City | RENO
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State | NV
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Zip | 89512-1364
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Country | US
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Telephone |
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | B01821
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License Number State | NV
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