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General NPI Number Information
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NPI Number | 1194472373
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Entity Type | Organization
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Legal Business Name | ERIKA KIMBLE PLLC
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Dates
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Enumeration Date | 03/07/2022
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Last Update Date | 03/07/2022
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Provider Practice Location Address
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Address Line | 7975 W SAHARA AVE STE 103
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City | LAS VEGAS
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State | NV
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Zip | 89117-7916
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Country | US
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Telephone | 702-670-2048
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Fax |
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Provider Business Mailing Address
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Address Line | 1876 GRANEMORE ST
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City | LAS VEGAS
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State | NV
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Zip | 89135-3341
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ERIKA KIMBLE
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Credential | NP
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Telephone | 702-670-2048
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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 |
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License Number State |
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