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General NPI Number Information
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NPI Number | 1639873581
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Entity Type | Individual
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Provider Name | KIMBERLEY RAE TEMPLE CNM
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Gender | Female
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 8888 LADUE RD STE 220
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City | SAINT LOUIS
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State | MO
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Zip | 63124-2056
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Country | US
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Telephone | 314-996-3531
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Fax | 888-822-0631
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Provider Business Mailing Address
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Address Line | PO BOX 959354
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City | SAINT LOUIS
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State | MO
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Zip | 63195-9354
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Country | US
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Telephone | 314-996-3531
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Fax | 314-644-5606
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | CNM08339
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 2023011623
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License Number State | MO
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