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General NPI Number Information
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NPI Number | 1043182538
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Entity Type | Individual
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Provider Name | KIMBERLY MARIE SOLER RN QP
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Gender | Female
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 2305 WATERS DR
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City | MENDOTA HEIGHTS
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State | MN
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Zip | 55120-1163
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Country | US
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Telephone | 612-871-3700
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Fax | 612-871-3705
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Provider Business Mailing Address
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Address Line | 2305 WATERS DR
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City | MENDOTA HEIGHTS
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State | MN
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Zip | 55120-1163
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Country | US
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Telephone | 612-871-3700
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Fax | 612-871-3705
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 1576630
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License Number State | MN
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