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General NPI Number Information
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NPI Number | 1851609705
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Entity Type | Individual
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Provider Name | KIM BOLLING PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 09/14/2010
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Last Update Date | 11/14/2018
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Provider Practice Location Address
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Address Line | 154 BROAD ST STE 1527
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City | NASHUA
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State | NH
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Zip | 03063-3205
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Country | US
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Telephone | 603-400-6160
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Fax | 603-324-7450
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Provider Business Mailing Address
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Address Line | 154 BROAD ST STE 1527
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City | NASHUA
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State | NH
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Zip | 03063-3205
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Country | US
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Telephone | 603-400-6160
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Fax | 603-324-7450
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1367
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License Number State | NH
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