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General NPI Number Information
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NPI Number | 1659916708
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Entity Type | Individual
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Provider Name | KIMBERLY KAY HAMBY APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/13/2019
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Last Update Date | 06/18/2024
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Provider Practice Location Address
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Address Line | 5712 21ST AVE W
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City | BRADENTON
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State | FL
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Zip | 34209-5606
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Country | US
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Telephone | 941-795-0105
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Fax |
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Provider Business Mailing Address
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Address Line | 117 TIGER LILLY DR
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City | PARRISH
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State | FL
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Zip | 34219-9118
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Country | US
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Telephone | 407-766-0727
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11003821
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9206237
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License Number State | FL
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