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General NPI Number Information
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NPI Number | 1073650032
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Entity Type | Organization
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Legal Business Name | KIMBERLY BONDE ACUPUNCTURE, INC.
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 10/02/2014
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Provider Practice Location Address
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Address Line | 340 MEAD RD.
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City | DECATUR
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State | GA
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Zip | 30030
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Country | US
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Telephone | 404-378-1543
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Fax |
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Provider Business Mailing Address
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Address Line | 340 MEAD RD.
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City | DECATUR
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State | GA
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Zip | 30030
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Country | US
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Telephone | 404-378-1543
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. KIMBERLY L BONDE
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Credential | LIC. AC.
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Telephone | 404-378-1543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 00019
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | #19
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License Number State | GA
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