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General NPI Number Information
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NPI Number | 1316737224
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Entity Type | Organization
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Legal Business Name | KMB VISIONPROJECT, LLC
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 1122 SHERIDAN AVE
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City | IOWA CITY
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State | IA
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Zip | 52240-5651
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Country | US
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Telephone | 319-400-7478
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Fax |
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Provider Business Mailing Address
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Address Line | 1122 SHERIDAN AVE
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City | IOWA CITY
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State | IA
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Zip | 52240-5651
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Country | US
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Telephone | 319-400-7478
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | KATHERINE M. BURNO
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Credential | LISW
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Telephone | 319-535-0015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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