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General NPI Number Information
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NPI Number | 1679551543
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Entity Type | Individual
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Provider Name | RICK E KISER MD
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Gender | Male
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Dates
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Enumeration Date | 01/02/2006
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Last Update Date | 07/02/2013
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Provider Practice Location Address
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Address Line | 1900 16TH ST
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City | GREELEY
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State | CO
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Zip | 80631-5114
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Country | US
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Telephone | 970-350-2403
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Fax | 970-392-4708
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Provider Business Mailing Address
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Address Line | 1900 16TH ST
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City | GREELEY
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State | CO
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Zip | 80631-5114
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Country | US
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Telephone | 970-350-2403
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Fax | 970-392-4708
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 22709
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License Number State | CO
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