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General NPI Number Information
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NPI Number | 1205429032
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Entity Type | Individual
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Provider Name | KIMBERLY KAY NETLING DOM
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Gender | Female
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Dates
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Enumeration Date | 02/12/2021
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Last Update Date | 04/09/2022
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Provider Practice Location Address
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Address Line | 87 ROYAL PALM PT
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City | VERO BEACH
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State | FL
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Zip | 32960-4253
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Country | US
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Telephone | 772-774-7775
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Fax | 772-264-3183
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Provider Business Mailing Address
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Address Line | PO BOX 280
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City | VERO BEACH
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State | FL
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Zip | 32961-0280
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Country | US
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Telephone | 772-774-7775
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Fax | 772-264-3181
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 4224
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License Number State | FL
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