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General NPI Number Information
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NPI Number | 1508363953
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Entity Type | Individual
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Provider Name | KYLIE HUNSAKER DC
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Gender | Female
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 04/11/2018
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Provider Practice Location Address
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Address Line | 22362 GILBERTO STE 250
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-2143
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Country | US
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Telephone | 949-441-9704
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Fax |
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Provider Business Mailing Address
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Address Line | 235 HELIOTROPE AVE
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City | CORONA DEL MAR
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State | CA
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Zip | 92625-3222
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Country | US
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Telephone | 949-441-9704
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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 | 34091
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License Number State | CA
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