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General NPI Number Information
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NPI Number | 1669404372
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Entity Type | Individual
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Provider Name | KATHERINE KRIVAN D.C.
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Gender | Female
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 06/12/2015
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Provider Practice Location Address
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Address Line | 10855 PINE CONE DR
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City | TRUCKEE
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State | CA
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Zip | 96161-3154
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Country | US
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Telephone | 520-990-9788
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Fax |
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Provider Business Mailing Address
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Address Line | 10855 PINE CONE DR
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City | TRUCKEE
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State | CA
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Zip | 96161-3154
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Country | US
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Telephone | 520-990-9788
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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 | 2890
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 10324
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 7851
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 32799
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License Number State | CA
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