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General NPI Number Information
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NPI Number | 1164636379
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Entity Type | Organization
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Legal Business Name | KIMBERLIN CHIROPRACTIC PLLC D.B.A. TOTAL HEALTH CHIROPRACTIC
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 01/27/2009
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Provider Practice Location Address
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Address Line | 3409 N FM 1417
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City | SHERMAN
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State | TX
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Zip | 75092-6634
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Country | US
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Telephone | 903-868-3808
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Fax | 903-868-1432
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Provider Business Mailing Address
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Address Line | 3409 N FM 1417
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City | SHERMAN
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State | TX
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Zip | 75092-6634
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Country | US
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Telephone | 903-868-3808
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Fax | 903-868-1432
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Authorized Official
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Title or Position | OWNER DOCTOR
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Name | ROBERT K KIMBERLIN
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Credential |
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Telephone | 903-868-3808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 10402
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License Number State | TX
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