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General NPI Number Information
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NPI Number | 1013332220
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Entity Type | Individual
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Provider Name | KIMBERLEY DOBBS
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Gender | Female
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Dates
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Enumeration Date | 02/25/2014
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Last Update Date | 03/15/2016
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Provider Practice Location Address
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Address Line | 1429 WALNUT ST SUITE 701
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City | PHILADELPHIA
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State | PA
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Zip | 19102-3218
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Country | US
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Telephone | 610-504-5234
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Fax |
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Provider Business Mailing Address
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Address Line | 251 W DEKALB PIKE 607
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-2421
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Country | US
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Telephone | 610-504-5234
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC006474
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License Number State | PA
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