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General NPI Number Information
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NPI Number | 1932412145
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Entity Type | Individual
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Provider Name | KIMBERLY KEY ATKINSON LPC
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Gender | Female
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Dates
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Enumeration Date | 07/16/2010
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Last Update Date | 02/24/2022
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Provider Practice Location Address
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Address Line | 2401 STATE BLVD
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City | MERIDIAN
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State | MS
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Zip | 39307-5033
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Country | US
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Telephone | 601-228-5837
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Fax | 601-429-1634
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Provider Business Mailing Address
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Address Line | 3501 ESPEY HEDGEPETH RD
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City | BAILEY
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State | MS
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Zip | 39320-9725
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Country | US
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Telephone | 601-938-5346
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2022
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License Number State | MS
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