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General NPI Number Information
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NPI Number | 1851663983
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Entity Type | Individual
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Provider Name | KAYLA ROSE NEIBAUER D.C.
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Gender | Female
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Dates
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Enumeration Date | 02/06/2012
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Last Update Date | 10/16/2015
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Provider Practice Location Address
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Address Line | 3831 LOCKPORT ST B
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City | BISMARCK
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State | ND
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Zip | 58503-5539
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Country | US
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Telephone | 701-751-3454
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Fax |
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Provider Business Mailing Address
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Address Line | 3831 LOCKPORT ST B
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City | BISMARCK
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State | ND
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Zip | 58503-5539
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Country | US
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Telephone | 701-751-3454
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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 | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | 899
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License Number State | ND
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