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General NPI Number Information
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NPI Number | 1144828518
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Entity Type | Individual
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Provider Name | KIMBERLY LOWERY MILLER LPA
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Gender | Female
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Dates
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Enumeration Date | 10/16/2020
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Last Update Date | 07/08/2022
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Provider Practice Location Address
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Address Line | 205 GARDEN HEIGHTS LN
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-9937
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Country | US
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Telephone | 919-818-3207
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Fax | 919-245-8885
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Provider Business Mailing Address
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Address Line | 2572 PRIMROSE LN
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City | CREEDMOOR
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State | NC
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Zip | 27522-7819
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Country | US
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Telephone | 919-538-6333
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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 | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | 2065
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License Number State | NC
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