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General NPI Number Information
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NPI Number | 1306130927
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Entity Type | Organization
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Legal Business Name | KIMBERLY ARVIN, LCSW, ACSW LLC
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Dates
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Enumeration Date | 05/31/2011
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Last Update Date | 05/31/2011
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Provider Practice Location Address
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Address Line | 815 JOHN ST SUITE 110-G
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City | EVANSVILLE
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State | IN
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Zip | 47713-2746
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Country | US
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Telephone | 812-598-4960
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Fax | 812-425-2585
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Provider Business Mailing Address
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Address Line | 815 JOHN ST SUITE 110-G
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City | EVANSVILLE
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State | IN
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Zip | 47713-2746
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Country | US
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Telephone | 812-598-4960
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Fax | 812-425-2585
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Authorized Official
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Title or Position | OWNER
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Name | MISS KIMBERLY DAWN ARVIN
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Credential | LCSW, ACSW
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Telephone | 812-598-4960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 34004923A
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License Number State | IN
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