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General NPI Number Information
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NPI Number | 1689623522
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Entity Type | Individual
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Provider Name | KIM FORBES L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 03/22/2022
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Provider Practice Location Address
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Address Line | 1 COLUMBUS CTR STE 600
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-6760
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Country | US
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Telephone | 757-490-7860
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Fax |
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Provider Business Mailing Address
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Address Line | 516 COLONIAL AVE
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City | NORFOLK
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State | VA
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Zip | 23507-2212
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Country | US
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Telephone | 757-625-2063
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904003164
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License Number State | VA
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