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General NPI Number Information
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NPI Number | 1174987515
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Entity Type | Individual
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Provider Name | KIMBERLY TING
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Gender | Female
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Dates
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Enumeration Date | 04/12/2016
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 9500 DALLAS PKWY STE 100
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City | FRISCO
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State | TX
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Zip | 75033-4120
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Country | US
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Telephone | 469-535-6647
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Fax |
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Provider Business Mailing Address
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Address Line | 9500 DALLAS PKWY STE 100
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City | FRISCO
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State | TX
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Zip | 75033-4120
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Country | US
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Telephone | 695-356-6474
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 082720
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | S6073
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License Number State | TX
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