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General NPI Number Information
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NPI Number | 1033002662
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Entity Type | Individual
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Provider Name | KIMBERLY ROTUNNA RN
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Gender | Female
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 1211 WILMINGTON AVE
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City | NEW CASTLE
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State | PA
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Zip | 16105-2516
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Country | US
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Telephone | 724-674-6052
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Fax | 724-674-6052
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Provider Business Mailing Address
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Address Line | 6479 WARREN SHARON RD
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City | BROOKFIELD
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State | OH
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Zip | 44403-9500
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Country | US
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Telephone | 330-503-7946
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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 | 207RB0002X
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Taxonomy Name | Obesity Medicine (Internal Medicine) Physician
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License Number | RN623187
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License Number State | PA
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