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General NPI Number Information
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NPI Number | 1831802685
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Entity Type | Individual
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Provider Name | KIMBERLY MERIWETHER LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/26/2022
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 6211 WATERFORD BLVD
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City | EVANSVILLE
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State | IN
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Zip | 47715-2869
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Country | US
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Telephone | 812-465-6202
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Fax |
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Provider Business Mailing Address
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Address Line | 2429 ALLEN ST
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City | OWENSBORO
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State | KY
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Zip | 42303-5510
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Country | US
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Telephone | 707-218-6177
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 112486
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License Number State | CA
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