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General NPI Number Information
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NPI Number | 1326635392
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Entity Type | Individual
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Provider Name | KIMBERLY DOBBYN APN
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Gender | Female
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Dates
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Enumeration Date | 12/24/2020
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 291 CLEAR SKY CT
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City | CLARKSVILLE
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State | TN
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Zip | 37043-5951
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Country | US
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Telephone | 931-444-7020
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Fax |
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Provider Business Mailing Address
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Address Line | 291 CLEAR SKY CT
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City | CLARKSVILLE
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State | TN
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Zip | 37043-5951
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Country | US
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Telephone | 317-695-1904
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 34012
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License Number State | TN
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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 | 28203918A
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License Number State | IN
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