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General NPI Number Information
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NPI Number | 1225578909
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Entity Type | Individual
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Provider Name | KIMBERLY A HARTER PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/01/2017
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 581 S RANGELINE RD STE B2
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City | CARMEL
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State | IN
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Zip | 46032-2149
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Country | US
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Telephone | 317-669-9774
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Fax |
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Provider Business Mailing Address
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Address Line | 1034 ROANOKE DR
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City | WESTFIELD
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State | IN
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Zip | 46074-8088
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Country | US
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Telephone | 765-461-7244
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2017002000
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 10002539A
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License Number State | IN
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