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General NPI Number Information
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NPI Number | 1437375359
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Entity Type | Organization
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Legal Business Name | KIMBERLY A. PAGE, M.D., INC.
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 11/17/2015
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Provider Practice Location Address
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Address Line | 1388 COURT STREET SUITE H
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City | REDDING
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State | CA
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Zip | 96001-1650
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Country | US
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Telephone | 530-246-2207
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Fax | 530-243-6835
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Provider Business Mailing Address
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Address Line | 1388 COURT STREET SUITE H
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City | REDDING
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State | CA
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Zip | 96001-1650
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Country | US
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Telephone | 530-246-2207
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Fax | 530-243-6835
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Authorized Official
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Title or Position | MD/OWNER
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Name | KIMBERLY A PAGE
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Credential | MD
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Telephone | 530-246-2207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G64229
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA18032
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State | CA
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