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General NPI Number Information
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NPI Number | 1285593301
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Entity Type | Individual
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Provider Name | KIMBERLE SMITH APCC, PPS
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Gender | Female
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 1615 W SAN MARCOS BLVD
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City | SAN MARCOS
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State | CA
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Zip | 92078-4094
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Country | US
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Telephone | 760-290-2227
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Fax |
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Provider Business Mailing Address
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Address Line | 4306 E OVERLOOK DR
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City | SAN DIEGO
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State | CA
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Zip | 92115-6111
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Country | US
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Telephone | 559-936-4658
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 230142745
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License Number State | CA
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