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General NPI Number Information
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NPI Number | 1447673942
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Entity Type | Individual
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Provider Name | MIRIAM CARROLL CRUMBY KIMBALL SSP, NCSP
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Gender | Female
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Dates
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Enumeration Date | 02/04/2014
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Last Update Date | 02/04/2014
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Provider Practice Location Address
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Address Line | 29816 ASTER ST
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City | WALKER
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State | LA
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Zip | 70785-7929
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Country | US
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Telephone | 318-623-3863
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Fax |
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Provider Business Mailing Address
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Address Line | 29816 ASTER ST
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City | WALKER
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State | LA
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Zip | 70785-7929
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Country | US
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Telephone | 318-623-3863
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Fax |
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | AN 478326
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License Number State | LA
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