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General NPI Number Information
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NPI Number | 1346054301
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Entity Type | Individual
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Provider Name | NICOLE KIMSEY APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/01/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 3844 BEE RIDGE RD
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City | SARASOTA
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State | FL
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Zip | 34233-1163
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Country | US
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Telephone | 941-379-8481
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Fax | 941-379-3781
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Provider Business Mailing Address
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Address Line | PO BOX 25487
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City | SARASOTA
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State | FL
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Zip | 34277-2487
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Country | US
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Telephone | 941-216-0072
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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 | APRN11038562
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License Number State | FL
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