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General NPI Number Information
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NPI Number | 1366957664
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Entity Type | Individual
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Provider Name | KIMBERLY D MOLINE RN
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Gender | Female
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Dates
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Enumeration Date | 12/08/2017
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Last Update Date | 12/08/2017
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Provider Practice Location Address
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Address Line | 4230 DREUX AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70126-3502
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Country | US
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Telephone | 504-343-8679
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Fax |
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Provider Business Mailing Address
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Address Line | 4230 DREUX AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70126-3502
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Country | US
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Telephone | 504-343-8679
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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 | 163WX0003X
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Taxonomy Name | Inpatient Obstetric Registered Nurse
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License Number | RN117804
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | RN117804
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | RN117804
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 163WX0002X
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Taxonomy Name | High-Risk Obstetric Registered Nurse
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License Number | RN117804
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License Number State | LA
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