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General NPI Number Information
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NPI Number | 1831160316
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Entity Type | Individual
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Provider Name | KIM ALMODOVAR MD
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Gender | Female
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Dates
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Enumeration Date | 01/31/2006
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 1460 WALTON BLVD STE 209
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City | ROCHESTER HILLS
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State | MI
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Zip | 48309-1779
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Country | US
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Telephone | 248-656-4225
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Fax | 248-656-4250
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Provider Business Mailing Address
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Address Line | 1460 WALTON BLVD STE 209
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City | ROCHESTER HILLS
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State | MI
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Zip | 48309-1779
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Country | US
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Telephone | 248-656-4225
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Fax | 248-656-4250
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 63580
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 4301053408
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 1082
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 65385
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 65385
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License Number State | TN
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