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General NPI Number Information
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NPI Number | 1427995661
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Entity Type | Individual
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Provider Name | MARGARET W KIBUKU
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Gender | Female
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 110 MILTON CT
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City | CLARKSVILLE
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State | TN
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Zip | 37042-2490
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Country | US
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Telephone | 443-963-6441
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Fax |
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Provider Business Mailing Address
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Address Line | 110 MILTON CT
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City | CLARKSVILLE
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State | TN
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Zip | 37042-2490
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Country | US
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Telephone | 443-963-6441
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 41938
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License Number State | TN
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