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General NPI Number Information
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NPI Number | 1043437999
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Entity Type | Individual
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Provider Name | KIBRA DORSEY RN
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Gender | Female
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2728 SPIRIT CREEK RD
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City | HEPHZIBAH
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State | GA
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Zip | 30815-5993
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Country | US
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Telephone | 706-798-8003
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Fax | 706-798-8003
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Provider Business Mailing Address
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Address Line | 2728 SPIRIT CREEK RD
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City | HEPHZIBAH
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State | GA
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Zip | 30815-5993
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Country | US
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Telephone | 706-798-8003
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Fax | 706-798-8003
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN182066
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 709730
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN9197155
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License Number State | FL
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