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General NPI Number Information
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NPI Number | 1629967849
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Entity Type | Individual
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Provider Name | KIMBERLY MARIE MARTIN CRNP
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Gender | Female
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 6 BELLA VISTA DR
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City | MECHANICSBURG
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State | PA
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Zip | 17050-1879
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Country | US
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Telephone | 347-267-9921
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Fax |
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Provider Business Mailing Address
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Address Line | 406 E KELLER ST
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City | MECHANICSBURG
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State | PA
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Zip | 17055-6529
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP033171
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License Number State | PA
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