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General NPI Number Information
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NPI Number | 1255501755
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Entity Type | Individual
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Provider Name | KIMBERLY A MARIN AP, RD
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Gender | Female
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Dates
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Enumeration Date | 03/11/2008
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 4301 S FLAMINGO RD # 106-447
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City | DAVIE
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State | FL
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Zip | 33330-1902
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Country | US
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Telephone | 954-736-3023
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Fax | 954-736-3348
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Provider Business Mailing Address
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Address Line | 9845 W TREE TOPS CT
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City | DAVIE
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State | FL
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Zip | 33328-7111
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Country | US
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Telephone | 954-736-3023
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Fax | 954-736-3348
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | ND14857
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP2392
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License Number State | FL
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