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General NPI Number Information
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NPI Number | 1174488043
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Entity Type | Individual
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Provider Name | KIMBERLY LENISE ABERNATHY CERTIFICATE
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Gender | Female
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 3955 GLENCROSS AVE
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City | CINCINNATI
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State | OH
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Zip | 45217-1912
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Country | US
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Telephone | 513-264-8134
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Fax |
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Provider Business Mailing Address
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Address Line | 4524 CENTREBROOK CIR
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City | RALEIGH
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State | NC
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Zip | 27616-8420
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Country | US
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Telephone | 513-264-8134
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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 | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State | OH
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