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General NPI Number Information
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NPI Number | 1164880233
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Entity Type | Individual
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Provider Name | KIMBERLY ARNOLD
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Gender | Female
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Dates
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Enumeration Date | 02/04/2016
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 756 N SUN DR
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City | LAKE MARY
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State | FL
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Zip | 32746-2507
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Country | US
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Telephone | 407-852-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 1325 DRUID ISLE RD
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City | MAITLAND
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State | FL
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Zip | 32751-4224
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Country | US
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Telephone | 207-415-6224
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA15474
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License Number State | FL
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