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General NPI Number Information
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NPI Number | 1316489560
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Entity Type | Individual
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Provider Name | TAYLOR KIMBERLAIN
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Gender | Female
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Dates
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Enumeration Date | 11/04/2016
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Last Update Date | 11/14/2016
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Provider Practice Location Address
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Address Line | 1351 NEWTOWN PIKE BUILDING 4
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City | LEXINGTON
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State | KY
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Zip | 40511-1275
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Country | US
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Telephone | 859-233-0444
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Fax |
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Provider Business Mailing Address
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Address Line | 218 JEAN ST 3
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City | LAWRENCEBURG
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State | KY
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Zip | 40342-1546
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Country | US
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Telephone | 606-477-3803
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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