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General NPI Number Information
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NPI Number | 1255982534
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Entity Type | Individual
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Provider Name | KIMBERLY HILL MS, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 09/27/2019
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Last Update Date | 08/04/2022
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Provider Practice Location Address
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Address Line | 5115 TERMINAL BLVD
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City | NORFOLK
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State | VA
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Zip | 23529-0745
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Country | US
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Telephone | 757-683-4275
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Fax |
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Provider Business Mailing Address
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Address Line | 676 INGLESIDE RD
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City | NORFOLK
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State | VA
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Zip | 23502-4202
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Country | US
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Telephone | 304-886-9840
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 0126003722
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License Number State | VA
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