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General NPI Number Information
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NPI Number | 1124176300
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Entity Type | Individual
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Provider Name | KIMBERLY M KUHN DOM
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Gender | Female
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Dates
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Enumeration Date | 01/06/2007
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Last Update Date | 03/04/2022
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Provider Practice Location Address
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Address Line | 4163 1ST AVE S
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City | ST PETERSBURG
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State | FL
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Zip | 33711-1101
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Country | US
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Telephone | 727-710-4798
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Fax | 831-621-4820
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Provider Business Mailing Address
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Address Line | 4163 1ST AVE S
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City | ST PETERSBURG
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State | FL
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Zip | 33711-1101
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Country | US
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Telephone | 727-710-4798
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Fax | 831-621-4820
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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 | 0904004696
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 13138
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 27146
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP3850
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License Number State | FL
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