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General NPI Number Information
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NPI Number | 1477713014
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Entity Type | Individual
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Provider Name | KIMBERLY ZLOMKE RODRIGUEZ PH.D., BCBA-D
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Gender | Female
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Dates
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Enumeration Date | 06/16/2008
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 960 DOWNTOWNER BLVD
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City | MOBILE
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State | AL
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Zip | 36609-5406
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Country | US
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Telephone | 251-480-0070
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Fax |
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Provider Business Mailing Address
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Address Line | 254 E MOUNT ISLAND DR
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City | MOBILE
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State | AL
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Zip | 36606-1843
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Country | US
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Telephone | 251-460-6569
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1634
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 8621
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-05-2487-2005
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License Number State |
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