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General NPI Number Information
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NPI Number | 1467875625
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Entity Type | Individual
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Provider Name | KIMBERLY NICOLE POPE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/23/2014
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 9611 W BROWARD BLVD
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City | PLANTATION
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State | FL
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Zip | 33324-2334
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Country | US
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Telephone | 954-924-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 300 RAWLS DR STE 100
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City | MCCOMB
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State | MS
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Zip | 39648-2852
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Country | US
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Telephone | 601-684-7623
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | APRN11017073
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11017073
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1195728
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R880053
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License Number State | MS
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