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General NPI Number Information
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NPI Number | 1588265706
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Entity Type | Individual
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Provider Name | KIMBERLY S SOLLOWS PSYD
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Gender | Female
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Dates
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Enumeration Date | 11/04/2020
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Last Update Date | 10/17/2022
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Provider Practice Location Address
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Address Line | 264 COTTAGE ST
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City | LITTLETON
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State | NH
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Zip | 03561-4101
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Country | US
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Telephone | 603-575-6710
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Fax |
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Provider Business Mailing Address
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Address Line | 19 SPENCER ST APT 213
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City | LEBANON
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State | NH
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Zip | 03766-1398
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Country | US
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Telephone | 978-500-9542
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 098361
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License Number State | IA
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