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General NPI Number Information
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NPI Number | 1639876741
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Entity Type | Individual
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Provider Name | KIMBERLY DAWN CONLEY PMHNP
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Gender | Female
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Dates
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Enumeration Date | 02/09/2023
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 819 GEORGIANA ST
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City | PORT ANGELES
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State | WA
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Zip | 98362-3511
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Country | US
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Telephone | 408-891-4745
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Fax |
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Provider Business Mailing Address
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Address Line | 643 OLYMPIC HOT SPRINGS RD
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City | PORT ANGELES
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State | WA
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Zip | 98363-9480
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Country | US
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Telephone | 408-891-4745
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | G173087
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61406603
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License Number State | WA
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