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General NPI Number Information
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NPI Number | 1770279812
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Entity Type | Individual
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Provider Name | KIMBERLY BRIGHAM LMFT
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Gender | Female
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Dates
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Enumeration Date | 04/12/2023
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 9655 S DIXIE HWY STE 113
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City | PINECREST
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State | FL
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Zip | 33156-2813
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Country | US
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Telephone | 305-491-6183
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Fax |
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Provider Business Mailing Address
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Address Line | 7581 SW 56TH CT
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City | MIAMI
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State | FL
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Zip | 33143-5607
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Country | US
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Telephone | 305-491-6183
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Fax |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT1637
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License Number State | FL
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