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General NPI Number Information
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NPI Number | 1538382197
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Entity Type | Organization
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Legal Business Name | KIMBERLY K JONES - KARISMA CONSULTING
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 26018 COX RD
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City | PETERSBURG
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State | VA
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Zip | 23803-6566
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Country | US
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Telephone | 804-862-4242
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Fax | 804-733-4668
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Provider Business Mailing Address
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Address Line | 21811 COX RD P O BOX 365
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City | SUTHERLAND
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State | VA
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Zip | 23885-9433
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Country | US
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Telephone | 804-721-4149
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Fax | 804-733-4668
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | MS. KIMBERLY KAY JONES
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Credential | LCSW
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Telephone | 804-862-4242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 0904004832
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 0904004832
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License Number State | VA
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