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General NPI Number Information
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NPI Number | 1730398694
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Entity Type | Individual
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Provider Name | KIMBERLY ANN VORMBROCK M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 09/11/2018
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Provider Practice Location Address
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Address Line | 830 THOMAS MORE PKWY SUITE 200 B
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City | EDGEWOOD
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State | KY
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Zip | 41017-5102
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Country | US
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Telephone | 859-301-8686
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Fax | 859-301-8690
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Provider Business Mailing Address
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Address Line | PO BOX 635283
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City | CINCINNATI
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State | OH
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Zip | 45263-5283
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Country | US
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Telephone | 859-341-3383
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Fax | 859-578-2013
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 41073
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License Number State | KY
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