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General NPI Number Information
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NPI Number | 1063599561
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Entity Type | Individual
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Provider Name | VENEE KIM KIMPSON LCSW-R
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/28/2014
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Provider Practice Location Address
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Address Line | 57 W 57TH ST SUITE 1210
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City | NEW YORK
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State | NY
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Zip | 10019-2802
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Country | US
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Telephone | 917-573-7847
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Fax | 888-217-8515
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Provider Business Mailing Address
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Address Line | 1901 MADISON AVE #223
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City | NEW YORK
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State | NY
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Zip | 10035-2700
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Country | US
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Telephone | 917-573-7847
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Fax | 888-217-8515
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 078178
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License Number State | NY
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