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General NPI Number Information
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NPI Number | 1649986217
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Entity Type | Individual
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Provider Name | KIMBERLEI RENEE SAPP
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Gender | Female
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Dates
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Enumeration Date | 01/26/2023
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Last Update Date | 01/26/2023
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Provider Practice Location Address
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Address Line | 8325 UNIVERSITY PKWY STE A
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City | PENSACOLA
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State | FL
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Zip | 32514-4949
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Country | US
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Telephone | 850-324-9633
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Fax | 850-470-6460
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Provider Business Mailing Address
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Address Line | 2210 TWIN LAKES DR
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City | BAINBRIDGE
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State | GA
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Zip | 39819-5278
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Country | US
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Telephone | 850-743-8940
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 11024057
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License Number State | FL
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