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General NPI Number Information
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NPI Number | 1861974743
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Entity Type | Individual
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Provider Name | KIRA NAEGELI PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 09/06/2018
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Last Update Date | 09/06/2018
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Provider Practice Location Address
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Address Line | 2312 S DIXON RD STE 250
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City | KOKOMO
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State | IN
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Zip | 46902-6426
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Country | US
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Telephone | 765-776-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 2312 S DIXON RD STE 250
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City | KOKOMO
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State | IN
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Zip | 46902-6426
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Country | US
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Telephone |
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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 | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 05012190A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 05012190A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 05012190A
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License Number State | IN
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