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General NPI Number Information
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NPI Number | 1245039528
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Entity Type | Individual
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Provider Name | KIMBERLY MARIE CHOU FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 3130 W MAPLE LOOP DR STE 110
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City | LEHI
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State | UT
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Zip | 84043-5790
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Country | US
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Telephone | 385-600-6367
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Fax |
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Provider Business Mailing Address
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Address Line | 367 W SONGBIRD LN
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City | LINDON
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State | UT
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Zip | 84042-1895
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Country | US
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Telephone | 307-359-8856
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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 | 14197368-4405
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 14197368-8900
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License Number State | UT
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