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General NPI Number Information
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NPI Number | 1225824303
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Entity Type | Individual
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Provider Name | GINA K FIMBEL LCSWA, CMSW
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Gender | Female
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Dates
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Enumeration Date | 04/16/2025
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 4620 CEDAR AVE STE 117
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City | WILMINGTON
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State | NC
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Zip | 28403-4423
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Country | US
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Telephone | 910-508-2808
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Fax |
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Provider Business Mailing Address
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Address Line | 322 S COLLEGE RD # 1018
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City | WILMINGTON
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State | NC
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Zip | 28403-1632
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Country | US
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Telephone | 910-508-2808
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P021916
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License Number State | NC
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