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General NPI Number Information
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NPI Number | 1194190447
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Entity Type | Individual
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Provider Name | KIMBERLY FRANCES FELTON APRN-BC
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Gender | Female
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Dates
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Enumeration Date | 12/10/2015
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Last Update Date | 12/10/2015
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Provider Practice Location Address
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Address Line | 1234 NAPIER AVE
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City | SAINT JOSEPH
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State | MI
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Zip | 49085-2112
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Country | US
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Telephone | 269-983-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 1745 TRAFALGAR DR
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City | SAINT JOSEPH
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State | MI
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Zip | 49085-9429
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Country | US
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Telephone | 269-849-6363
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704161308
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License Number State | MI
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