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General NPI Number Information
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NPI Number | 1558803924
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Entity Type | Individual
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Provider Name | KIMBERLY YULE WHNP - BC
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Gender | Female
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Dates
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Enumeration Date | 11/16/2016
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Last Update Date | 11/16/2016
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Provider Practice Location Address
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Address Line | 211 RR 620 S SUITE 110
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City | LAKEWAY
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State | TX
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Zip | 78734-3965
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Country | US
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Telephone | 512-266-6713
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Fax |
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Provider Business Mailing Address
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Address Line | 211 RR 620 S SUITE 110
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City | LAKEWAY
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State | TX
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Zip | 78734-3965
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Country | US
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Telephone | 512-266-6713
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP107733
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | AP107733
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License Number State | TX
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