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General NPI Number Information
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NPI Number | 1841742764
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Entity Type | Individual
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Provider Name | KEVIN HUGGENBERGER D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 10/08/2019
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Provider Practice Location Address
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Address Line | 504 N 16TH ST
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City | BERESFORD
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State | SD
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Zip | 57004-1503
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Country | US
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Telephone | 605-763-8056
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Fax | 605-763-8057
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Provider Business Mailing Address
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Address Line | 504 N 16TH ST
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City | BERESFORD
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State | SD
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Zip | 57004-1503
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Country | US
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Telephone | 605-763-8056
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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 | 084587
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License Number State | IA
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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 | 1347
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License Number State | SD
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