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General NPI Number Information
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NPI Number | 1669811709
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Entity Type | Individual
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Provider Name | KIMBERLY A WALHEIM LPC
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Gender | Female
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Dates
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Enumeration Date | 06/21/2013
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Last Update Date | 01/15/2016
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Provider Practice Location Address
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Address Line | 222 S MARKET ST SUITE 104
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City | ELIZABETHTOWN
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State | PA
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Zip | 17022-2439
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Country | US
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Telephone | 717-779-6639
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Fax | 717-361-9100
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Provider Business Mailing Address
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Address Line | 1025 S COCALICO RD
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City | DENVER
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State | PA
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Zip | 17517-9545
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Country | US
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Telephone | 717-606-7652
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Fax | 717-336-4014
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC006979
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License Number State | PA
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