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General NPI Number Information
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NPI Number | 1285621888
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Entity Type | Individual
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Provider Name | KIMBERLY SUE CRAIG D. N. P.
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Gender | Female
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Dates
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Enumeration Date | 09/29/2005
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Last Update Date | 01/19/2025
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Provider Practice Location Address
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Address Line | 121 WASHINGTON AVE N FL 2
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City | MINNEAPOLIS
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State | MN
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Zip | 55401-2503
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Country | US
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Telephone | 888-731-8994
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Fax |
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Provider Business Mailing Address
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Address Line | 121 WASHINGTON AVE N FL 2
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City | MINNEAPOLIS
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State | MN
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Zip | 55401-2503
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Country | US
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Telephone | 888-731-8994
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | SP010154
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License Number State | PA
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