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General NPI Number Information
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NPI Number | 1043536469
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Entity Type | Individual
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Provider Name | ASHLEE R KIMBRELL M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/09/2010
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Last Update Date | 12/01/2021
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Provider Practice Location Address
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Address Line | 1010 PRINCE AVE STE 100
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City | ATHENS
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State | GA
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Zip | 30606-5805
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Country | US
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Telephone | 706-425-1420
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 161435
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City | ATLANTA
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State | GA
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Zip | 30321-1435
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Country | US
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Telephone | 706-369-5440
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Fax | 706-369-5490
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 076108
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 076108
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License Number State | GA
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