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General NPI Number Information
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NPI Number | 1558993881
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Entity Type | Individual
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Provider Name | KIMBERLY ANNE PIPON MAT, LBS
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Gender | Female
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Dates
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Enumeration Date | 02/05/2020
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Last Update Date | 02/05/2020
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Provider Practice Location Address
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Address Line | 531 S MAIN ST
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City | GREENSBURG
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State | PA
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Zip | 15601-3071
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Country | US
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Telephone | 724-600-0120
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Fax |
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Provider Business Mailing Address
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Address Line | 5110 SCENIC RD
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City | MURRYSVILLE
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State | PA
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Zip | 15668-1517
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Country | US
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Telephone | 724-516-7258
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BH003580
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License Number State | PA
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