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General NPI Number Information
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NPI Number | 1003080896
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Entity Type | Individual
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Provider Name | KIMBERLY ELIZABETH IDOKO M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/14/2008
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 5900 BALCONES DR # 22815
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City | AUSTIN
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State | TX
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Zip | 78731-4257
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Country | US
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Telephone | 888-618-5288
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Fax | 888-618-5288
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR # 22815
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City | AUSTIN
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State | TX
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Zip | 78731-4257
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Country | US
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Telephone | 888-618-5288
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Fax | 888-618-5288
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 35.148856
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 24757
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A-118232
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 04-43896
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License Number State | KS
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 4301510507
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | U9973
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | E-16293
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License Number State | AR
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Taxonomy #8
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 255780
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License Number State | NY
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Taxonomy #9
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD-50869
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License Number State | IA
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Taxonomy #10
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 35386
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License Number State | NE
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Taxonomy #11
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD61493501
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License Number State | WA
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Taxonomy #12
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 036152650
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License Number State | IL
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Taxonomy #13
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 2023-02584
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License Number State | NC
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Taxonomy #14
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 73600
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License Number State | WI
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