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General NPI Number Information
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NPI Number | 1427150747
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Entity Type | Individual
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Provider Name | KIMBERLY KURTZ SCHUNK FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 06/25/2024
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Provider Practice Location Address
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Address Line | 3 HONEOYE CMNS
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City | HONEOYE
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State | NY
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Zip | 14471-8807
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Country | US
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Telephone | 585-229-2215
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Fax |
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Provider Business Mailing Address
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Address Line | 5007 W LAKE RD
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City | GENESEO
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State | NY
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Zip | 14454-9576
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Country | US
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Telephone | 585-613-6178
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0029977
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F331061
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209.006779
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License Number State | IL
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