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General NPI Number Information
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NPI Number | 1528420197
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Entity Type | Individual
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Provider Name | KIMBERLY ANN CORBITT DO
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Gender | Female
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 5325 US HWY 98 S
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City | LAKELAND
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State | FL
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Zip | 33812-3381
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Country | US
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Telephone | 863-937-3139
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1328
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City | HIGHLAND CITY
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State | FL
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Zip | 33846-1328
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Country | US
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Telephone | 863-937-3139
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Fax | 863-937-3147
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | BP10055358
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | OS20172
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 5101026168
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License Number State | MI
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