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General NPI Number Information
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NPI Number | 1952861015
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Entity Type | Individual
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Provider Name | JOHN ALEXANDER KUIPERS DO
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Gender | Male
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Dates
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Enumeration Date | 03/23/2019
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 150 PIONEER LN
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City | BISHOP
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State | CA
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Zip | 93514-2556
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Country | US
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Telephone | 760-873-2623
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Fax | 760-873-2626
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Provider Business Mailing Address
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Address Line | 2874 N CARSON ST STE 300
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City | CARSON CITY
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State | NV
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Zip | 89706-1683
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 20A24073
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License Number State | CA
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