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General NPI Number Information
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NPI Number | 1538683719
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Entity Type | Organization
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Legal Business Name | KIMBERLY BLIND RNFA, LLC
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Dates
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Enumeration Date | 07/31/2017
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Last Update Date | 07/31/2017
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Provider Practice Location Address
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Address Line | 2 BRENT DR
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City | HOWELL
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State | NJ
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Zip | 07731-8922
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Country | US
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Telephone | 732-207-3958
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Fax | 848-444-9801
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Provider Business Mailing Address
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Address Line | 205 ROUTE 9 N STE 24
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City | FREEHOLD
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State | NJ
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Zip | 07728-8561
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Country | US
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Telephone | 732-207-3958
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Fax | 848-444-9801
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY BLIND
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Credential | RNFA
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Telephone | 732-207-3958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP2800X
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Taxonomy Name | Perioperative Clinical Nurse Specialist
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License Number |
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License Number State |
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