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General NPI Number Information
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NPI Number | 1356583637
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Entity Type | Organization
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Legal Business Name | KIRKMAN & ASSOCIATES, INC
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 04/01/2009
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Provider Practice Location Address
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Address Line | 965 W CRAIG AVE
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City | BRAZIL
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State | IN
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Zip | 47834-7400
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Country | US
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Telephone | 812-446-4673
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Fax | 812-446-4673
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Provider Business Mailing Address
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Address Line | 965 W CRAIG AVE
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City | BRAZIL
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State | IN
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Zip | 47834-7400
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Country | US
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Telephone | 812-446-4673
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Fax | 812-446-4673
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. SHELIA ROSE KIRKMAN
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Credential | MS
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Telephone | 812-446-4673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 35000028A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 39001081A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 34003195A
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License Number State | IN
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