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General NPI Number Information
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NPI Number | 1902812357
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Entity Type | Individual
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Provider Name | DONNA TOBY KIMMEL PH.D,
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Gender | Female
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 10114 PARKWOOD DR
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City | BETHESDA
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State | MD
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Zip | 20814-4034
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Country | US
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Telephone | 240-277-4427
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Fax | 301-530-1250
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Provider Business Mailing Address
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Address Line | 10114 PARKWOOD DR
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City | BETHESDA
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State | MD
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Zip | 20814-4034
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Country | US
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Telephone | 240-277-4427
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Fax | 301-530-1250
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC2009
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1926
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LC2009
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License Number State | MD
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