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General NPI Number Information
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NPI Number | 1467866657
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Entity Type | Individual
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Provider Name | KIMBERLY DEE BUESING LPC
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Gender | Female
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Dates
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Enumeration Date | 06/16/2014
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Last Update Date | 04/22/2022
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Provider Practice Location Address
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Address Line | 1900 PEASE ST STE 308
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City | VERNON
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State | TX
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Zip | 76384-4625
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Country | US
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Telephone | 940-357-1156
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Fax | 940-553-7054
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Provider Business Mailing Address
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Address Line | 1900 PEASE ST STE 308
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City | VERNON
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State | TX
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Zip | 76384-4625
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Country | US
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Telephone | 940-357-1156
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Fax | 940-553-7054
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 69942
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License Number State | TX
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