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General NPI Number Information
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NPI Number | 1225140007
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Entity Type | Individual
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Provider Name | KIMBERLY SUE UMHOEFER DO
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 2845 CAPITAL AVE SW STE 302
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City | BATTLE CREEK
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State | MI
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Zip | 49015-4187
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Country | US
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Telephone | 269-979-6333
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Fax |
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Provider Business Mailing Address
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Address Line | 601 JOHN STREET BOX 42
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City | KALAMAZOO
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State | MI
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Zip | 49007
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34007109
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 5101028355
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License Number State | MI
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