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General NPI Number Information
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NPI Number | 1053811216
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Entity Type | Individual
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Provider Name | KIMBERLY MOORE SCHULTZ RN
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Gender | Female
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Dates
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Enumeration Date | 02/14/2018
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Last Update Date | 02/14/2018
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Provider Practice Location Address
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Address Line | 333 MILL ST
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City | HAGERSTOWN
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State | MD
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Zip | 21740-6473
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Country | US
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Telephone | 717-860-9026
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Fax | 717-860-9026
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Provider Business Mailing Address
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Address Line | 213 UNIVERSITY DR
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City | MONT ALTO
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State | PA
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Zip | 17237-9604
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Country | US
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Telephone | 717-860-9026
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN542173
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License Number State | PA
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