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General NPI Number Information
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NPI Number | 1336975275
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Entity Type | Individual
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Provider Name | KIMBERLY ANN PLUMMER
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Gender | Female
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Dates
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Enumeration Date | 09/09/2024
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 2830 NW 41ST ST STE E
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City | GAINESVILLE
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State | FL
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Zip | 32606-6667
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Country | US
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Telephone | 352-262-9788
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Fax |
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Provider Business Mailing Address
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Address Line | 7150 QUAIL ST
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City | FLORAHOME
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State | FL
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Zip | 32140-6003
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Country | US
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Telephone | 251-533-8026
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT5344
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License Number State | FL
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