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General NPI Number Information
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NPI Number | 1003298100
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Entity Type | Individual
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Provider Name | KIMBERLY ERIKA DOWE NP-C
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Gender | Female
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Dates
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Enumeration Date | 06/24/2015
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Last Update Date | 11/04/2021
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Provider Practice Location Address
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Address Line | 185 OLD PEACHTREE RD NW
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City | SUWANEE
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State | GA
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Zip | 30024-2511
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Country | US
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Telephone | 678-937-0300
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Fax | 678-405-1660
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Provider Business Mailing Address
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Address Line | 460 WILLIE KATE LN
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City | LAWRENCEVILLE
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State | GA
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Zip | 30045-3534
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN0000020054
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN243783
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | RN243783
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License Number State | GA
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