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General NPI Number Information
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NPI Number | 1093181497
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Entity Type | Individual
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Provider Name | KIMBERLY BURNAM ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/19/2015
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 550 POPE AVE NW STE 300
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City | WINTER HAVEN
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State | FL
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Zip | 33881-4679
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Country | US
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Telephone | 863-299-2636
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Fax | 863-662-5288
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Provider Business Mailing Address
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Address Line | 425 W COLONIAL DR STE 303
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City | ORLANDO
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State | FL
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Zip | 32804-6863
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Country | US
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Telephone | 321-332-6947
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Fax | 689-304-0303
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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 | ARNP9246734
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN9246734
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License Number State | FL
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