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General NPI Number Information
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NPI Number | 1164037925
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Entity Type | Individual
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Provider Name | KAILEY SPERO
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Gender | Female
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Dates
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Enumeration Date | 09/09/2020
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Last Update Date | 09/09/2020
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Provider Practice Location Address
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Address Line | 7405 RENNER RD
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City | SHAWNEE
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State | KS
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Zip | 66217-9414
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Country | US
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Telephone | 913-588-1227
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Fax |
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Provider Business Mailing Address
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Address Line | 2954 FRANCIS ST APT 204
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City | KANSAS CITY
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State | KS
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Zip | 66103-3715
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Country | US
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Telephone | 913-256-9153
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State | KS
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