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General NPI Number Information
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NPI Number | 1881086825
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Entity Type | Individual
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Provider Name | EMILY KLEINSMITH
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Gender | Female
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Dates
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Enumeration Date | 02/27/2015
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Last Update Date | 02/27/2015
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Provider Practice Location Address
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Address Line | 110 S WILLIAMS ST
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City | ANAMOSA
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State | IA
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Zip | 52205-1858
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Country | US
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Telephone | 563-357-2295
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 937
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City | MARSHALLTOWN
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State | IA
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Zip | 50158-0937
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Country | US
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Telephone |
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Fax |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 000431
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License Number State | IA
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