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General NPI Number Information
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NPI Number | 1477169977
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Entity Type | Individual
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Provider Name | KIMBERLY NICOLE NORFLEET LPC
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Gender | Female
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Dates
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Enumeration Date | 09/20/2020
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | 1613 S CHURCH ST STE 6
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City | SMITHFIELD
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State | VA
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Zip | 23430-1831
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Country | US
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Telephone | 757-232-3542
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Fax | 757-801-5557
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Provider Business Mailing Address
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Address Line | 115 KEMPSVILLE RD STE 3
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City | CHESAPEAKE
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State | VA
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Zip | 23320-3857
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Country | US
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Telephone | 757-232-3542
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Fax | 757-801-5557
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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 | 0701009945
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License Number State | VA
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