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General NPI Number Information
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NPI Number | 1316951387
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Entity Type | Individual
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Provider Name | RUTH KIME KENSLOW LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 04/28/2014
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Provider Practice Location Address
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Address Line | 923 FIRST COLONIAL ROAD SUITE 1817
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454
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Country | US
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Telephone | 757-685-4453
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Fax | 757-512-5715
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Provider Business Mailing Address
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Address Line | 923 FIRST COLONIAL ROAD SUITE 1817
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454
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Country | US
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Telephone | 757-685-4453
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Fax | 757-512-5715
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904004822
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License Number State | VA
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