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General NPI Number Information
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NPI Number | 1700629722
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Entity Type | Individual
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Provider Name | KIMBERLEY NEMETH-GARCIA OTR
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Gender | Female
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 4152 30TH AVE S
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City | FARGO
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State | ND
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Zip | 58104-8524
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Country | US
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Telephone | 701-364-9070
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Fax | 701-364-9071
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Provider Business Mailing Address
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Address Line | 2200 20TH ST SW
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City | JAMESTOWN
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State | ND
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Zip | 58401-7500
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Country | US
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Telephone | 701-252-3850
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Fax | 701-952-1450
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 1945
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License Number State | ND
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