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General NPI Number Information
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NPI Number | 1609575067
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Entity Type | Individual
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Provider Name | KIRA KIMBLE CD
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Gender | Female
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Dates
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Enumeration Date | 02/24/2023
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Last Update Date | 02/24/2023
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Provider Practice Location Address
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Address Line | 7032 CROSSRIDGE RD
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City | CHARLOTTE
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State | NC
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Zip | 28214-2216
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Country | US
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Telephone | 704-661-2278
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 343
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City | PAW CREEK
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State | NC
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Zip | 28130-0343
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Country | US
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Telephone | 704-661-2278
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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