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General NPI Number Information
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NPI Number | 1467675074
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Entity Type | Individual
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Provider Name | KIMBERLY ANN ERNST-GANEY M.ED.
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Gender | Female
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 05/07/2018
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Provider Practice Location Address
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Address Line | 3131 COLLEGE HEIGHTS BLVD SUITE 400 ROOM 1
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City | ALLENTOWN
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State | PA
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Zip | 18104
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Country | US
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Telephone | 610-301-8157
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Fax | 866-214-5520
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Provider Business Mailing Address
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Address Line | 3510 W UNION ST
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City | ALLENTOWN
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State | PA
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Zip | 18104
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Country | US
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Telephone | 610-301-8157
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Fax | 866-214-5520
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS-006375-L
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License Number State | PA
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