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General NPI Number Information
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NPI Number | 1366786345
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Entity Type | Individual
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Provider Name | JUDY B KILPATRICK LMFT
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Gender | Female
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 11/15/2012
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Provider Practice Location Address
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Address Line | 228 MAIN ST E
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City | AHOSKIE
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State | NC
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Zip | 27910-3418
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Country | US
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Telephone | 252-209-0388
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Fax | 252-209-0488
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Provider Business Mailing Address
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Address Line | 228 MAIN ST E
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City | AHOSKIE
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State | NC
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Zip | 27910-3418
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Country | US
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Telephone | 252-209-0388
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Fax | 252-209-0488
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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 | 1478
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License Number State | NC
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