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General NPI Number Information
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NPI Number | 1184211237
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Entity Type | Individual
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Provider Name | TYLER DANIEL KEMP DC
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Gender | Male
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Dates
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Enumeration Date | 12/23/2020
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Last Update Date | 10/21/2021
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Provider Practice Location Address
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Address Line | 2300 WALL ST STE Q
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City | CINCINNATI
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State | OH
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Zip | 45212-2789
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Country | US
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Telephone | 513-531-2277
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Fax | 513-531-2278
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Provider Business Mailing Address
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Address Line | 2300 WALL ST STE Q
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City | CINCINNATI
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State | OH
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Zip | 45212-2789
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Country | US
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Telephone | 513-531-2277
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Fax | 513-531-2278
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | ACUP-00207
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License Number State | OH
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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 | 05029
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License Number State | OH
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