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General NPI Number Information
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NPI Number | 1740290311
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Entity Type | Individual
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Provider Name | KIMBERLY CAMILLE THORPE LMSW
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Gender | Female
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 01/24/2022
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Provider Practice Location Address
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Address Line | 615 W LOVELL ST
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City | KALAMAZOO
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State | MI
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Zip | 49007-4615
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Country | US
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Telephone | 248-431-1371
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Fax | 269-200-3088
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Provider Business Mailing Address
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Address Line | PO BOX 227
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City | NAZARETH
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State | MI
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Zip | 49074
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Country | US
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Telephone | 269-567-9409
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Fax | 269-329-4077
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6801070137
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License Number State | MI
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