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General NPI Number Information
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NPI Number | 1568762516
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Entity Type | Individual
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Provider Name | KIMBERLY DARRIGO ANP
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Gender | Female
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Dates
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Enumeration Date | 10/25/2010
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Last Update Date | 08/07/2020
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Provider Practice Location Address
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Address Line | 164 WILLOW AVE
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City | CORNWALL
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State | NY
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Zip | 12518-1329
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Country | US
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Telephone | 845-565-1771
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Fax | 845-565-4941
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Provider Business Mailing Address
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Address Line | 564 LAKESIDE RD
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City | NEWBURGH
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State | NY
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Zip | 12550-8949
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Country | US
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Telephone |
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F305398
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 305398-1
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License Number State | NY
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