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General NPI Number Information
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NPI Number | 1023974482
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Entity Type | Individual
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Provider Name | KARMEN WIMBERLEY
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Gender | Female
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 9231 4TH ST # 2
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City | BERRIEN SPRINGS
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State | MI
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Zip | 49103-1600
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Country | US
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Telephone | 269-815-2089
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Fax |
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Provider Business Mailing Address
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Address Line | 732 S 11TH ST # 217
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City | NILES
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State | MI
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Zip | 49120-3343
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Country | US
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Telephone | 269-815-2089
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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 | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | 2845056
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License Number State | MI
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