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General NPI Number Information
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NPI Number | 1083734222
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Entity Type | Individual
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Provider Name | KIMBERLY SHIPMAN L.AC.
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Gender | Female
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 09/01/2011
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Provider Practice Location Address
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Address Line | 73140 HIGHWAY 111 STE 8
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City | PALM DESERT
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State | CA
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Zip | 92260-3927
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Country | US
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Telephone | 760-668-3174
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Fax |
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Provider Business Mailing Address
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Address Line | 53060 AVENIDA DIAZ
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City | LA QUINTA
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State | CA
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Zip | 92253-3429
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Country | US
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Telephone | 760-668-3174
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 9433
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License Number State | CA
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