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General NPI Number Information
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NPI Number | 1164698916
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Entity Type | Individual
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Provider Name | KIMBERLY ANN YEAGER-ROSE DC
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Gender | Female
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 116 HIGHLAND DR
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City | RICHBORO
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State | PA
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Zip | 18954-1822
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Country | US
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Telephone | 215-322-7127
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Fax |
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Provider Business Mailing Address
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Address Line | 116 HIGHLAND DR
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City | RICHBORO
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State | PA
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Zip | 18954-1822
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Country | US
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Telephone | 215-322-7127
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC003330L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38MC00323200
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License Number State | NJ
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