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General NPI Number Information
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NPI Number | 1730615568
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Entity Type | Individual
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Provider Name | KYLE PATRICK STENGEL D.C.
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Gender | Male
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 7447 E BERRY AVE STE 150
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2142
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Country | US
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Telephone | 303-694-9759
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Fax |
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Provider Business Mailing Address
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Address Line | 6350 S HAVANA ST APT 1011
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City | ENGLEWOOD
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State | CO
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Zip | 80111-5659
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Country | US
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Telephone | 970-799-1480
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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 | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | CHR.0007292
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License Number State | CO
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