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General NPI Number Information
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NPI Number | 1134642572
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Entity Type | Individual
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Provider Name | KIMBERLY MARKER LCPC
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Gender | Female
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Dates
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Enumeration Date | 07/18/2017
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 1015 CALDWELL BLVD
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City | NAMPA
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State | ID
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Zip | 83651-1717
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Country | US
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Telephone | 208-649-4806
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Fax |
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Provider Business Mailing Address
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Address Line | 2922 PASCOE LN
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City | NAMPA
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State | ID
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Zip | 83686-8245
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Country | US
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Telephone | 208-608-1883
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-6636
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC-6636
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License Number State | ID
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