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General NPI Number Information
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NPI Number | 1346350584
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Entity Type | Individual
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Provider Name | KIMBERLY A FORTE MED CCCA
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 06/22/2009
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Provider Practice Location Address
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Address Line | 283B EGG HARBOR RD PMB 215
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City | SEWELL
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State | NJ
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Zip | 08080
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Country | US
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Telephone | 856-346-3823
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Fax | 856-346-8807
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Provider Business Mailing Address
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Address Line | 283B EGG HARBOR RD PMB 215
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City | SEWELL
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State | NJ
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Zip | 08080
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Country | US
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Telephone | 856-346-3823
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Fax | 856-346-8807
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 41YA00022700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 25MG00074900
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License Number State | NJ
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