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General NPI Number Information
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NPI Number | 1487103230
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Entity Type | Individual
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Provider Name | KIMBERLY HUBER ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/21/2016
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Last Update Date | 02/13/2017
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Provider Practice Location Address
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Address Line | 614 BROOKFIELD TER
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City | DELAND
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State | FL
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Zip | 32724-7725
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Country | US
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Telephone | 386-624-3061
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 WESTHALL LN BOX 300
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City | MAITLAND
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State | FL
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Zip | 32751-7102
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Country | US
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Telephone | 407-200-2300
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Fax | 407-200-1353
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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 | ARNP2924972
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License Number State | FL
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