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General NPI Number Information
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NPI Number | 1376485532
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Entity Type | Individual
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Provider Name | KIMBERLY CAROLINE SMITH RN
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Gender | Female
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Dates
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Enumeration Date | 04/07/2026
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Last Update Date | 04/07/2026
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Provider Practice Location Address
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Address Line | 1341 OLD GEORGETOWN RD STE B
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-7307
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Country | US
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Telephone | 843-216-4844
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Fax | 843-408-4102
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Provider Business Mailing Address
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Address Line | 515 ROBERT DANIEL DR APT 4305
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City | DANIEL ISLAND
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State | SC
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Zip | 29492-7345
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Country | US
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Telephone | 828-358-9941
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 284805
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License Number State | SC
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