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General NPI Number Information
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NPI Number | 1235437930
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Entity Type | Individual
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Provider Name | KIMBERLY ANN JOEST ATC
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Gender | Female
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Dates
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Enumeration Date | 03/03/2011
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Last Update Date | 03/03/2011
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Provider Practice Location Address
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Address Line | 6020 S MASON MONTGOMERY RD
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City | MASON
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State | OH
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Zip | 45040-3706
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Country | US
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Telephone | 513-240-6490
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Fax | 513-204-6499
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Provider Business Mailing Address
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Address Line | 6020 MASON-MONTGOMERY RD
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City | MASON
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State | OH
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Zip | 45040
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Country | US
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Telephone | 513-240-6490
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Fax | 513-204-6499
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT.002423
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License Number State | OH
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