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General NPI Number Information
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NPI Number | 1942340070
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Entity Type | Organization
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Legal Business Name | DR. WILLIAM E. KIMBALL AND LIANN H. KIMBALL, OD'S, PARTNERS
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15 BACKUS AVE
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City | DANBURY
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State | CT
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Zip | 06810-7431
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Country | US
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Telephone | 203-744-3730
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Fax |
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Provider Business Mailing Address
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Address Line | 290 JACOB RD
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City | SOUTHBURY
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State | CT
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Zip | 06488-2719
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Country | US
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Telephone | 203-264-7720
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. LIANN KIMBALL
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Credential | O.D.
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Telephone | 203-744-3730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1038
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License Number State | CT
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