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General NPI Number Information
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NPI Number | 1386614584
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Entity Type | Individual
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Provider Name | KIMBERLY J MINER ND, CNS, CWCN
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Gender | Female
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 888 W ITHACA AVE
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City | ENGLEWOOD
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State | CO
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Zip | 80110-3468
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Country | US
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Telephone | 303-789-2777
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Fax | 303-789-2556
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Provider Business Mailing Address
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Address Line | 7399 S SYRACUSE CT
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City | CENTENNIAL
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State | CO
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Zip | 80112-1749
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Country | US
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Telephone | 303-789-2777
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Fax | 303-789-2556
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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 | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | 1040
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License Number State | CO
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