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General NPI Number Information
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NPI Number | 1033077359
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Entity Type | Individual
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Provider Name | MRS. KIMBERLY C SORENSEN
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Gender | Female
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 1220 CAPITOL TRL
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City | NEWARK
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State | DE
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Zip | 19711-3924
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Country | US
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Telephone | 302-366-1727
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Fax |
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Provider Business Mailing Address
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Address Line | 29 DANIEL BATHON DR
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City | ELKTON
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State | MD
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Zip | 21921-3658
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT-0004763
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License Number State | DE
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