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General NPI Number Information
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NPI Number | 1114726106
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Entity Type | Individual
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Provider Name | KARIE ANN KINZIE AGACNP
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Gender | Female
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 2930 HILLRISE DR STE 2
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City | LAS CRUCES
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State | NM
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Zip | 88011-4776
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Country | US
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Telephone | 575-904-7585
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Fax |
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Provider Business Mailing Address
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Address Line | 2930 HILLRISE DR STE 2
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City | LAS CRUCES
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State | NM
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Zip | 88011-4776
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Country | US
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Telephone | 575-904-7585
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 95034273
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 67514
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License Number State | NM
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