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General NPI Number Information
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NPI Number | 1275019598
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Entity Type | Individual
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Provider Name | KIMBERLY ANNE CALHOUN APRN-CNP, MSN
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Gender | Female
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Dates
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Enumeration Date | 07/19/2018
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Last Update Date | 06/21/2022
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Provider Practice Location Address
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Address Line | 705 SW 19TH ST STE 120
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City | MOORE
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State | OK
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Zip | 73160-3052
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Country | US
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Telephone | 405-492-6799
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Fax | 405-595-0579
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Provider Business Mailing Address
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Address Line | 705 SW 19TH ST STE 120
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City | MOORE
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State | OK
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Zip | 73160-3052
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Country | US
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Telephone | 405-492-6799
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Fax | 405-595-0579
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 82221
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License Number State | OK
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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 | R0082221
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License Number State | OK
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