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General NPI Number Information
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NPI Number | 1629264700
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Entity Type | Individual
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Provider Name | MICHELE GENENE KIMEL D.C.
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Gender | Female
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Dates
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Enumeration Date | 09/21/2007
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Last Update Date | 05/06/2019
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Provider Practice Location Address
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Address Line | 13615 N 35TH AVE STE 1
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City | PHOENIX
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State | AZ
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Zip | 85029-1243
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Country | US
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Telephone | 602-993-1722
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Fax | 602-866-0219
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Provider Business Mailing Address
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Address Line | 17250 NORTH 43RD AVENUE SUITE 3
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City | GLENDALE
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State | AZ
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Zip | 85308-4024
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Country | US
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Telephone | 602-993-1722
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Fax | 602-428-6975
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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 | 7857
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License Number State | AZ
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