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General NPI Number Information
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NPI Number | 1215781919
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Entity Type | Individual
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Provider Name | ALLAN KYARIGA
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Gender | Male
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Dates
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Enumeration Date | 04/17/2024
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Last Update Date | 04/17/2024
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Provider Practice Location Address
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Address Line | 56 6TH ST E STE 302
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City | SAINT PAUL
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State | MN
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Zip | 55101-1714
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Country | US
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Telephone | 651-399-7955
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Fax |
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Provider Business Mailing Address
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Address Line | 2085 63RD ST E
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City | INVER GROVE HEIGHTS
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State | MN
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Zip | 55077-2151
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Country | US
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Telephone | 651-399-7955
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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 | 173C00000X
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Taxonomy Name | Reflexologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 22045913
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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