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General NPI Number Information
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NPI Number | 1821236357
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Entity Type | Individual
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Provider Name | WILLIAM HARRISON KIMBROUGH M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/21/2009
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 2987 DISTRICT AVE STE 120
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City | FAIRFAX
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State | VA
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Zip | 22031-1571
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Country | US
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Telephone | 888-663-6331
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Fax | 415-252-7176
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Provider Business Mailing Address
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Address Line | 1001 G ST NW SUITE 200 EAST
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City | WASHINGTON
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State | DC
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Zip | 20001-4545
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Country | US
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Telephone | 202-660-0005
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Fax | 202-660-0025
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD039873
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101260163
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License Number State | VA
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