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General NPI Number Information
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NPI Number | 1841337110
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Entity Type | Individual
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Provider Name | TRACI A. KIMBALL MD CWSP
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 04/05/2025
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Provider Practice Location Address
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Address Line | 10050 RALSTON RD UNIT 3
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City | ARVADA
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State | CO
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Zip | 80004-4974
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Country | US
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Telephone | 303-940-1611
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Fax | 303-432-2296
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Provider Business Mailing Address
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Address Line | 10050 RALSTON RD UNIT 3
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City | ARVADA
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State | CO
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Zip | 80004-4974
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Country | US
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Telephone | 303-940-1611
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Fax | 303-432-2296
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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Taxonomy #3
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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Taxonomy #4
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number |
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Taxonomy #5
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Taxonomy Code | 1744R1102X
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Taxonomy Name | Research Study Specialist
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License Number |
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Taxonomy #6
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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Taxonomy #7
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 175L00000X
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Taxonomy Name | Homeopath
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | DR49586
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License Number State | CO
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Taxonomy #10
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Taxonomy Code | 246XC2903X
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Taxonomy Name | Vascular Specialist/Technologist Cardiovascular
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License Number |
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Taxonomy #11
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Taxonomy Code | 246ZB0301X
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Taxonomy Name | Biomedical Engineer
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | CO
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Taxonomy #13
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | DR49586
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License Number State | CO
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