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General NPI Number Information
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NPI Number | 1912436130
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Entity Type | Organization
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Legal Business Name | DR. KIMBERLY LAYMAN, LLC
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Dates
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Enumeration Date | 06/10/2017
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Last Update Date | 06/10/2017
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Provider Practice Location Address
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Address Line | 599 BANTAM RD
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City | LITCHFIELD
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State | CT
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Zip | 06759-3203
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Country | US
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Telephone | 860-552-7792
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Fax |
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Provider Business Mailing Address
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Address Line | 9 WHITE OAK LN
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City | WARREN
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State | CT
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Zip | 06754-1526
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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 | OWNER
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Name | DR. KIMBERLY LAYMAN
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Credential | DC
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Telephone | 860-866-7023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2075
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License Number State | CT
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