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General NPI Number Information
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NPI Number | 1093977043
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Entity Type | Individual
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Provider Name | KIMBERLY JOY LIND PT
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Gender | Female
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Dates
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Enumeration Date | 07/01/2008
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 141 N MAPLE ST
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City | PALATINE
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State | IL
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Zip | 60067-4910
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Country | US
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Telephone | 847-752-4554
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Fax | 847-485-5954
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Provider Business Mailing Address
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Address Line | 141 N MAPLE ST
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City | PALATINE
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State | IL
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Zip | 60067-4910
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Country | US
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Telephone | 888-553-6569
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Fax | 833-291-6616
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070011655
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License Number State | IL
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