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General NPI Number Information
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NPI Number | 1285247874
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Entity Type | Individual
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Provider Name | KIMBERLY NICOLE WESTERMAN DDS
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Gender | Female
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Dates
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Enumeration Date | 08/25/2020
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 3846 W DAVIS ST STE 300
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City | CONROE
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State | TX
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Zip | 77304-1975
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Country | US
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Telephone | 936-235-2024
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Fax |
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Provider Business Mailing Address
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Address Line | 21547 JORDAN POND RDG
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City | PORTER
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State | TX
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Zip | 77365-7274
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Country | US
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Telephone | 281-907-3338
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 36629
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License Number State | TX
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