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General NPI Number Information
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NPI Number | 1780128561
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Entity Type | Individual
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Provider Name | KYLIE MISHAY CRESS D.C.
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Gender | Female
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Dates
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Enumeration Date | 12/13/2016
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 1500 MADISON AVE STE 205
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City | NEW RICHMOND
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State | WI
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Zip | 54017-6693
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Country | US
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Telephone | 715-204-4223
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 MADISON AVE STE 205
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City | NEW RICHMOND
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State | WI
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Zip | 54017-6693
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Country | US
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Telephone | 715-204-4223
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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 | 1304
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License Number State | SD
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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 | 5550-12
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License Number State | WI
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