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General NPI Number Information
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NPI Number | 1992567507
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Entity Type | Individual
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Provider Name | KIRIN KING LLMSW
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Gender | Female
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Dates
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Enumeration Date | 01/29/2024
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 57239 N MAIN ST STE 1
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City | THREE RIVERS
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State | MI
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Zip | 49093-9419
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Country | US
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Telephone | 269-350-7385
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Fax |
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Provider Business Mailing Address
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Address Line | 14970 HIDEAWAY RD
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City | VANDALIA
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State | MI
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Zip | 49095-7706
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Country | US
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Telephone | 574-606-9117
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6851117764
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License Number State |
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