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General NPI Number Information
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NPI Number | 1972680056
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Entity Type | Individual
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Provider Name | KIMBERLY LAJUAN MARABLE LPC, NCC, CRC
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1675 MONTCLAIR RD STE 252
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City | BIRMINGHAM
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State | AL
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Zip | 35210-2400
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Country | US
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Telephone | 205-567-4718
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Fax |
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Provider Business Mailing Address
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Address Line | 2749 BENTWOOD DR
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City | BIRMINGHAM
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State | AL
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Zip | 35235-2173
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Country | US
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Telephone | 205-533-8667
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Fax | 205-533-7481
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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 | 2362
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License Number State | AL
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