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General NPI Number Information
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NPI Number | 1205425972
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Entity Type | Individual
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Provider Name | LINDSEY KIM DNP, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/15/2021
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 4800 E LOS COYOTES DIAGONAL
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City | LONG BEACH
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State | CA
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Zip | 90815-2897
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Country | US
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Telephone | 562-506-1313
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Fax |
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Provider Business Mailing Address
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Address Line | 1950 W CORPORATE WAY
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City | ANAHEIM
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State | CA
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Zip | 92801-5373
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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 |
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 041.369276
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209.022570
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95019634
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License Number State | CA
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