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General NPI Number Information
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NPI Number | 1134049737
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Entity Type | Individual
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Provider Name | JOSIAH ANDREW KIME LPC
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Gender | Male
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 416 MARIE LN
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City | MANCHESTER
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State | MO
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Zip | 63011-3905
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Country | US
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Telephone | 321-352-1739
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Fax |
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Provider Business Mailing Address
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Address Line | 416 MARIE LN
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City | MANCHESTER
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State | MO
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Zip | 63011-3905
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Country | US
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Telephone | 321-352-1739
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2025027042
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License Number State | MO
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