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General NPI Number Information
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NPI Number | 1639315948
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Entity Type | Individual
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Provider Name | KIMBERLY ANN WASHBURN N.P.
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Gender | Female
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Dates
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Enumeration Date | 12/17/2008
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 1311A N MILDRED RD
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City | CORTEZ
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State | CO
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Zip | 81321-2231
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Country | US
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Telephone | 970-565-8556
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Fax | 970-564-1134
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Provider Business Mailing Address
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Address Line | 1311A N MILDRED RD
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City | CORTEZ
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State | CO
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Zip | 81321-2231
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Country | US
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Telephone | 970-565-8556
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Fax | 970-564-1134
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | JOH104338485
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License Number State | AZ
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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 | C-APN.0001138-C-NP
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License Number State | CO
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