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General NPI Number Information
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NPI Number | 1265165229
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Entity Type | Individual
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Provider Name | KIMBERLY GRAY PMHNP
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Gender | Female
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Dates
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Enumeration Date | 07/07/2022
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Last Update Date | 07/07/2022
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Provider Practice Location Address
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Address Line | 65 AIRPORT PKWY
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City | GREENWOOD
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State | IN
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Zip | 46143-1439
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Country | US
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Telephone | 317-887-1348
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Fax |
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Provider Business Mailing Address
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Address Line | 2382 E WINDING BROOK CIR
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City | BLOOMINGTON
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State | IN
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Zip | 47401-4382
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Country | US
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Telephone | 812-327-2810
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 28212858A
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License Number State | IN
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