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General NPI Number Information
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NPI Number | 1649833138
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Entity Type | Individual
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Provider Name | KIMBERLY AUVIL DAC, LAC
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Gender | Female
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Dates
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Enumeration Date | 04/19/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 210 COUNTRY DAY RD
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City | CHESTER
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State | MD
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Zip | 21619-2603
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Country | US
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Telephone | 617-852-8910
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6442
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City | ANNAPOLIS
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State | MD
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Zip | 21401-0442
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Country | US
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Telephone | 617-852-8910
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | U02604
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License Number State | MD
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