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General NPI Number Information
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NPI Number | 1730211848
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Entity Type | Individual
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Provider Name | KIMBERLY J. LYNN PT
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 9751 REGENT AVE N
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City | BROOKLYN PARK
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State | MN
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Zip | 55443-1402
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Country | US
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Telephone | 763-315-5340
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 HIGHWAY 100 S
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City | SAINT LOUIS PARK
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State | MN
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Zip | 55416-1506
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Country | US
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Telephone | 763-531-5039
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Fax | 736-591-5004
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 7794
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License Number State | MN
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