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General NPI Number Information
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NPI Number | 1366407785
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Entity Type | Individual
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Provider Name | KIMBERLEY A REA ARNP
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Gender | Female
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 4660 YOSEMITE ST STE 100
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City | DENVER
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State | CO
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Zip | 80238-4481
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Country | US
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Telephone | 720-516-8907
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Fax | 720-516-8905
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Provider Business Mailing Address
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Address Line | 2695 ROCKY MOUNTAIN AVE STE 150
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City | LOVELAND
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State | CO
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Zip | 80538-9071
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Country | US
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Telephone | 706-242-4229
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Fax | 970-490-4155
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 1061543
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4058P
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | NP0006039
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | 0024170292
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.0006039-NP
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License Number State | CO
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