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NPI 1588312151

NPI 1588312151 : KYLEE CHRISTINE GEAR DPT : PARSONS, WV

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General NPI Number Information
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    NPI Number           |    1588312151
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    Entity Type          |    Individual 
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    Provider Name        |    KYLEE CHRISTINE GEAR DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/14/2022
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    Last Update Date     |    03/21/2024
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Provider Practice Location Address
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    Address Line         |    8591 HOLLY MEADOWS RD 
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    City                 |    PARSONS
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    State                |    WV
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    Zip                  |    26287-8604
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    Country              |    US
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    Telephone            |    304-478-3339
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10 MAIN ST 
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    City                 |    ELKINS
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    State                |    WV
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    Zip                  |    26241-3190
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    Country              |    US
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    Telephone            |    304-636-1548
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    Fax                  |    304-636-1566
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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       |    004176
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    License Number State |    WV
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