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General NPI Number Information
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NPI Number | 1487098786
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Entity Type | Individual
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Provider Name | KIM VALDES LPC
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Gender | Female
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Dates
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Enumeration Date | 04/18/2013
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Last Update Date | 08/24/2015
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Provider Practice Location Address
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Address Line | 310 MAXWELL RD SUITE 600A
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City | ALPHARETTA
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State | GA
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Zip | 30009-2065
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Country | US
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Telephone | 404-957-4317
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Fax | 770-343-8926
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Provider Business Mailing Address
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Address Line | 550 KIMBALL CREST CT
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City | ALPHARETTA
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State | GA
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Zip | 30022-6419
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Country | US
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Telephone | 404-957-4317
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Fax | 877-505-5278
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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 | LPC008329
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC008329
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License Number State | GA
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