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General NPI Number Information
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NPI Number | 1487517223
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Entity Type | Individual
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Provider Name | MS. KIMBERLEY ANN DENHAM
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Gender | Female
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 5198 T. C. WALKER ROAD
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City | GLOUCESTER
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State | VA
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Zip | 23061-4466
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Country | US
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Telephone | 804-693-2540
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Fax | 804-824-9608
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Provider Business Mailing Address
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Address Line | 5198 T C WALKER RD
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City | GLOUCESTER
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State | VA
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Zip | 23061-4466
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Country | US
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Telephone | 804-693-2540
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Fax | 804-824-9608
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | PPS-368280
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License Number State | VA
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