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General NPI Number Information
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NPI Number | 1346345022
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Entity Type | Individual
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Provider Name | ROBERT K KIMBERLIN
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Gender | Male
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 3409 N FM 1417
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City | SHERMAN
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State | TX
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Zip | 75092-6634
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Country | US
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Telephone | 903-868-3808
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Fax | 903-868-1432
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Provider Business Mailing Address
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Address Line | 3409 N FM 1417
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City | SHERMAN
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State | TX
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Zip | 75092-6634
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Country | US
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Telephone | 903-868-3808
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Fax | 903-868-1432
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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 | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 10402
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License Number State | TX
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