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General NPI Number Information
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NPI Number | 1851493415
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Entity Type | Individual
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Provider Name | KIMBERLY MANNING LMHC
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Gender | Female
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Dates
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Enumeration Date | 09/03/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 17 MAIN ST
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City | HOPKINTON
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State | MA
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Zip | 01748-3211
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Country | US
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Telephone | 508-435-3350
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Fax | 508-497-6325
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Provider Business Mailing Address
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Address Line | 32 BRIARCLIFF DR
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City | HOPKINTON
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State | MA
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Zip | 01748-2530
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Country | US
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Telephone | 508-435-3350
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Fax | 508-497-6325
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LM3820
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License Number State | MA
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