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General NPI Number Information
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NPI Number | 1366056962
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Entity Type | Individual
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Provider Name | KIMBERLY GAZNABIE NP
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Gender | Female
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Dates
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Enumeration Date | 09/02/2020
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 120 BATES AVE SW
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City | WINTER HAVEN
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State | FL
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Zip | 33880-2953
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Country | US
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Telephone | 863-288-0942
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Fax | 863-288-0943
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Provider Business Mailing Address
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Address Line | 5625 EIGER RD STE 200
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City | AUSTIN
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State | TX
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Zip | 78735-8982
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Country | US
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Telephone | 512-892-7076
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Fax | 855-270-9668
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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 | APRN11026537
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License Number State | FL
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