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General NPI Number Information
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NPI Number | 1568502391
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Entity Type | Individual
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Provider Name | KIMBERLY L MUNN PLMHP
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Gender | Female
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 05/04/2022
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Provider Practice Location Address
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Address Line | 1946 N 13TH ST STE 450
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City | TOLEDO
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State | OH
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Zip | 43604-7257
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Country | US
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Telephone | 419-720-6811
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Fax |
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Provider Business Mailing Address
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Address Line | 2805 N 72 STREET
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City | OMAHA
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State | NE
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Zip | 68134
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Country | US
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Telephone | 402-871-3775
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Fax | 402-493-1087
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 9010
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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