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General NPI Number Information
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NPI Number | 1619488947
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Entity Type | Individual
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Provider Name | KAITLYN BASSETT FAIPLER D.C.
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Gender | Female
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Dates
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Enumeration Date | 10/13/2017
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Last Update Date | 10/30/2018
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Provider Practice Location Address
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Address Line | 6220 MANATEE AVE W STE 204
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City | BRADENTON
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State | FL
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Zip | 34209-2361
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Country | US
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Telephone | 941-761-1100
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Fax | 941-761-1103
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Provider Business Mailing Address
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Address Line | 8734 MONTEREY BAY LOOP
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City | BRADENTON
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State | FL
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Zip | 34212-6318
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Country | US
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Telephone | 517-581-7898
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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 | CH12322
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License Number State | FL
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