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General NPI Number Information
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NPI Number | 1205326477
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Entity Type | Individual
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Provider Name | KIMBERLY DAWN POWELL APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/14/2018
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Last Update Date | 02/13/2020
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Provider Practice Location Address
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Address Line | 721 CHESTERFIELD HWY
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City | CHERAW
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State | SC
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Zip | 29520-7002
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Country | US
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Telephone | 843-320-5200
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Fax | 843-320-5002
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Provider Business Mailing Address
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Address Line | 805 PAMPLICO HWY
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City | FLORENCE
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State | SC
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Zip | 29505-6050
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Country | US
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Telephone | 843-674-6306
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 21885
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License Number State | SC
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