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General NPI Number Information
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NPI Number | 1871979534
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Entity Type | Individual
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Provider Name | RACHEL MARIE KIMBREL LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/05/2015
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 104 CONNORS PL
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City | OAK RIDGE
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State | TN
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Zip | 37830-7634
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Country | US
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Telephone | 865-214-6383
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Fax | 865-343-3705
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Provider Business Mailing Address
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Address Line | 104 CONNORS PL
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City | OAK RIDGE
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State | TN
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Zip | 37830-7634
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Country | US
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Telephone | 865-214-6383
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Fax | 865-343-3705
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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 | 0904012950
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09925399
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C016529
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 9186
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License Number State | TN
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