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General NPI Number Information
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NPI Number | 1548511892
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Entity Type | Individual
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Provider Name | KIMBERLY MICHELE ADAMS M.A.
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Gender | Female
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Dates
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Enumeration Date | 09/26/2012
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Last Update Date | 11/15/2019
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Provider Practice Location Address
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Address Line | 5305 PARKMOR RD APT 15
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City | CALABASAS
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State | CA
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Zip | 91302-1091
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Country | US
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Telephone | 323-218-1169
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Fax |
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Provider Business Mailing Address
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Address Line | 10517 S HOOVER ST
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City | LOS ANGELES
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State | CA
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Zip | 90044-4441
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 106892
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License Number State | CA
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