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General NPI Number Information
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NPI Number | 1033776430
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Entity Type | Individual
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Provider Name | KIMBERLEE WING QUAN DO
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Gender | Female
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Dates
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Enumeration Date | 05/22/2019
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 3322 US HIGHWAY 22 W STE 1008
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City | BRANCHBURG
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State | NJ
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Zip | 08876-4403
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Country | US
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Telephone | 908-219-7965
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Fax |
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Provider Business Mailing Address
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Address Line | 3322 US HIGHWAY 22 STE 1008
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City | BRANCHBURG
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State | NJ
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Zip | 08876-4403
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Country | US
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Telephone | 908-219-7965
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Fax | 866-531-7548
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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 | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 25MB11557200
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License Number State | NJ
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