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General NPI Number Information
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NPI Number | 1568750289
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Entity Type | Individual
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Provider Name | KIMBERLY A HEBING PT
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Gender | Female
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Dates
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Enumeration Date | 07/15/2011
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Last Update Date | 07/15/2011
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Provider Practice Location Address
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Address Line | 6440 SKY POINTE DR SUITE 140-398
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City | LAS VEGAS
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State | NV
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Zip | 89131-4047
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Country | US
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Telephone | 702-993-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 24 LA CROSSE CT
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City | HENDERSON
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State | NV
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Zip | 89052-6608
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Country | US
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Telephone | 702-837-1758
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Fax | 702-837-1758
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 1748
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License Number State | NV
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