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General NPI Number Information
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NPI Number | 1912433814
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Entity Type | Individual
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Provider Name | KIMBERLY CARTER DPT
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Gender | Female
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 12/23/2023
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Provider Practice Location Address
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Address Line | 7858 SHRADER RD
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City | HENRICO
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State | VA
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Zip | 23294-4222
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Country | US
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Telephone | 804-287-2780
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Fax | 804-864-5409
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Provider Business Mailing Address
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Address Line | 13000 RIVERS BEND BLVD SUITE D
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City | CHESTER
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State | VA
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Zip | 23836-8632
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Country | US
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Telephone | 804-526-5888
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Fax | 804-526-5401
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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