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General NPI Number Information
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NPI Number | 1851794143
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Entity Type | Individual
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Provider Name | KIMBERLY TIPPENS ND, MSAOM, MPH
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Gender | Female
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Dates
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Enumeration Date | 10/01/2014
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Last Update Date | 10/01/2014
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Provider Practice Location Address
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Address Line | 049 SW PORTER ST
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City | PORTLAND
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State | OR
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Zip | 97201-4848
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Country | US
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Telephone | 503-552-1857
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Fax | 503-227-3750
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Provider Business Mailing Address
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Address Line | 049 SW PORTER ST
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City | PORTLAND
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State | OR
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Zip | 97201-4848
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Country | US
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Telephone | 503-552-1857
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Fax | 503-227-3750
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC00876
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 1355
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License Number State | OR
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