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General NPI Number Information
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NPI Number | 1730916180
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Entity Type | Individual
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Provider Name | KIMBERLY MARIE MARX LMSW, CSW-INTERN
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Gender | Female
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Dates
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Enumeration Date | 09/18/2024
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 1515 E TROPICANA AVE STE 580
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City | LAS VEGAS
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State | NV
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Zip | 89119-6517
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Country | US
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Telephone | 702-898-5311
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Fax | 702-222-3275
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Provider Business Mailing Address
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Address Line | 1515 E TROPICANA AVE # 580
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City | LAS VEGAS
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State | NV
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Zip | 89119-6517
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Country | US
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Telephone | 702-898-5311
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Fax | 702-222-3275
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CI-2733
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License Number State | NV
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