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General NPI Number Information
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NPI Number | 1528181054
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Entity Type | Individual
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Provider Name | SUSAN D. KIMPTON L.AC., M.S.T.C.M.
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Gender | Female
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 226 W ABRIENDO AVE SUITE B.
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City | PUEBLO
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State | CO
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Zip | 81004-1868
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Country | US
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Telephone | 719-543-3226
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Fax |
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Provider Business Mailing Address
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Address Line | 226 W ABRIENDO AVE SUITE B.
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City | PUEBLO
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State | CO
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Zip | 81004-1868
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Country | US
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Telephone | 719-543-3226
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 1114
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 457
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 5861
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License Number State | CA
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