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General NPI Number Information
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NPI Number | 1992625131
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Entity Type | Individual
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Provider Name | KIMBERLY DILLARD
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Gender |
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 900 MOUNT VIEW RD
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City | WELCH
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State | WV
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Zip | 24801-2810
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Country | US
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Telephone | 304-436-8441
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Fax |
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Provider Business Mailing Address
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Address Line | 109 ASHWORTH DR
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City | BECKLEY
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State | WV
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Zip | 25801-2706
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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 |
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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