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General NPI Number Information
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NPI Number | 1477972164
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Entity Type | Individual
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Provider Name | KYLE SETH MUIR D.C.
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Gender | Male
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 01/24/2019
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Provider Practice Location Address
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Address Line | 1280 BOARDMAN CANFIELD RD STE 1
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City | BOARDMAN
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State | OH
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Zip | 44512-4073
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Country | US
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Telephone | 330-360-6264
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Fax |
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Provider Business Mailing Address
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Address Line | 307 BARON CT
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City | ZELIENOPLE
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State | PA
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Zip | 16063-2406
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Country | US
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Telephone | 330-360-6264
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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 | DC010881
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | AJ010659
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC-04826
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License Number State | OH
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