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General NPI Number Information
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NPI Number | 1205758497
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Entity Type | Individual
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Provider Name | KIMBERLY ANN SKAGGS
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Gender | Female
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 4380 AUBURN BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95841-4107
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Country | US
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Telephone | 916-771-8255
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Fax |
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Provider Business Mailing Address
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Address Line | 5551 BARBARA WAY
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City | CARMICHAEL
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State | CA
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Zip | 95608-3248
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Country | US
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Telephone |
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 9654
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License Number State | CA
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