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General NPI Number Information
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NPI Number | 1609133719
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Entity Type | Individual
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Provider Name | KIRK JAMES HIPPENSTEEL MD
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Gender | Male
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Dates
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Enumeration Date | 04/13/2012
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Last Update Date | 08/06/2024
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Provider Practice Location Address
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Address Line | 2902 W AGUA FRIA FWY STE 1090
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City | PHOENIX
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State | AZ
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Zip | 85027-3970
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Country | US
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Telephone | 623-848-4711
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 80217
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City | PHOENIX
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State | AZ
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Zip | 85060-0217
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Country | US
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Telephone | 602-385-2115
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Fax | 480-418-3323
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number | 147698
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 147698
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 71213
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 71213
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License Number State | AZ
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