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General NPI Number Information
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NPI Number | 1801293501
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Entity Type | Organization
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Legal Business Name | KIMBERLY ROBERTS, AP, LMT, LLC
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Dates
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Enumeration Date | 11/24/2014
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Last Update Date | 11/24/2014
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Provider Practice Location Address
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Address Line | 2431 ALOMA AVE STE. 106
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City | WINTER PARK
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State | FL
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Zip | 32792-2541
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Country | US
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Telephone | 407-672-0072
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Fax |
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Provider Business Mailing Address
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Address Line | 2431 ALOMA AVE STE. 106
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City | WINTER PARK
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State | FL
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Zip | 32792-2541
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Country | US
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Telephone | 407-672-0072
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY ROBERTS
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Credential | AP, LMT
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Telephone | 407-672-0072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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