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General NPI Number Information
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NPI Number | 1306251152
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Entity Type | Individual
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Provider Name | KYLIE ANNE PALERMO DPT
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Gender | Female
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Dates
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Enumeration Date | 06/30/2014
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Last Update Date | 10/09/2014
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Provider Practice Location Address
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Address Line | 7932 N OAK TRFY STE 212
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City | KANSAS CITY
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State | MO
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Zip | 64118-1423
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Country | US
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Telephone | 816-420-0286
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Fax | 816-420-8207
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Provider Business Mailing Address
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Address Line | 8823 PRODUCTION LN
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City | OOLTEWAH
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State | TN
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Zip | 37363-6511
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Country | US
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Telephone | 816-226-4011
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Fax | 816-524-6115
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11-04843
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2014023633
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License Number State | MO
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