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General NPI Number Information
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NPI Number | 1164469649
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Entity Type | Individual
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Provider Name | KIMBERLY O'RILEY CNP
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Gender | Female
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 2946 E BANNER GATEWAY DR
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City | GILBERT
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State | AZ
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Zip | 85234
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Country | US
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Telephone | 480-256-6444
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Fax | 480-256-3682
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Provider Business Mailing Address
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Address Line | 2946 E BANNER GATEWAY DR
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City | GILBERT
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State | AZ
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Zip | 85234
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Country | US
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Telephone | 480-256-6444
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Fax | 480-256-3682
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4704144935
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 364SX0200X
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Taxonomy Name | Oncology Clinical Nurse Specialist
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License Number | 4704144935
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704144935
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License Number State | MI
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