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General NPI Number Information
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NPI Number | 1790678464
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Entity Type | Individual
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Provider Name | KIMBERLY MARIAH HARDIN WILLIAMS PHD, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 6349 PICCADILLY SQUARE DR
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City | MOBILE
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State | AL
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Zip | 36609-5103
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Country | US
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Telephone | 251-318-2872
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Fax |
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Provider Business Mailing Address
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Address Line | 7166 PINE STATION RD S
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City | MOBILE
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State | AL
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Zip | 36695-4315
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Country | US
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Telephone | 251-259-2137
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 5206
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License Number State | AL
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