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General NPI Number Information
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NPI Number | 1508754284
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Entity Type | Individual
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Provider Name | ARQUISHA KINYUA LPN
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Gender | Female
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 1113 E OGLETHORPE HWY
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City | HINESVILLE
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State | GA
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Zip | 31313-1200
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Country | US
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Telephone | 912-876-5085
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Fax | 912-876-2037
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Provider Business Mailing Address
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Address Line | 1113 E OGLETHORPE HWY
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City | HINESVILLE
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State | GA
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Zip | 31313-1200
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Country | US
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Telephone | 912-876-5085
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Fax | 912-876-2037
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LPN094664
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License Number State | GA
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