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General NPI Number Information
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NPI Number | 1881105252
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Entity Type | Individual
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Provider Name | KRISTIN DEARMOND DC
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Gender | Female
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Dates
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Enumeration Date | 10/12/2017
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Last Update Date | 10/26/2021
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Provider Practice Location Address
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Address Line | 7051 CYPRESS TER STE 106
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City | FORT MYERS
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State | FL
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Zip | 33907-8801
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Country | US
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Telephone | 239-886-3066
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Fax | 239-887-3074
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Provider Business Mailing Address
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Address Line | 7051 CYPRESS TER
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City | FORT MYERS
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State | FL
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Zip | 33907-8822
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Country | US
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Telephone | 239-886-3066
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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 | CH12279
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License Number State | FL
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