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General NPI Number Information
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NPI Number | 1639121973
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Entity Type | Individual
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Provider Name | KIMBERLEE NORTON CRNA
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Gender | Female
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 03/14/2019
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Provider Practice Location Address
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Address Line | 1261 S TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34239
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Country | US
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Telephone | 941-366-2360
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Fax |
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Provider Business Mailing Address
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Address Line | 1415 2ND ST UNIT 508
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City | SARASOTA
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State | FL
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Zip | 34236-5106
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Country | US
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Telephone | 574-537-2479
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 28109391
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 9467257
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License Number State | FL
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