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General NPI Number Information
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NPI Number | 1245601525
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Entity Type | Individual
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Provider Name | KIMBERLY QUARLES RN, MSN-ED
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Gender | Female
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Dates
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Enumeration Date | 10/13/2015
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Last Update Date | 11/09/2015
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Provider Practice Location Address
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Address Line | 101 MISTYWOOD RD
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-2865
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Country | US
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Telephone | 434-987-1228
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Fax |
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Provider Business Mailing Address
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Address Line | 101 MISTYWOOD RD
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-2865
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Country | US
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Telephone | 434-987-1228
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number | 0001193208
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001193208
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 0001193208
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License Number State | VA
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