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General NPI Number Information
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NPI Number | 1659600385
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Entity Type | Organization
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Legal Business Name | KIMBERLY'S HOMES
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Dates
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Enumeration Date | 12/08/2009
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Last Update Date | 12/08/2009
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Provider Practice Location Address
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Address Line | 2960 HIGHWAY 205 N
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City | ALBERTVILLE
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State | AL
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Zip | 35950-5310
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Country | US
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Telephone | 205-381-3435
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Fax | 205-980-2946
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Provider Business Mailing Address
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Address Line | 2960 HIGHWAY 205 N
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City | ALBERTVILLE
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State | AL
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Zip | 35950-5310
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Country | US
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Telephone | 205-381-3435
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Fax | 205-980-2946
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Authorized Official
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Title or Position | MANAGER
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Name | MS. DOLORES HAWKINS
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Credential |
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Telephone | 205-381-3435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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