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NPI 1659985174

NPI 1659985174 : ABIGAIL ROSE KIMBEL : CLINTON, LA

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General NPI Number Information
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    NPI Number           |    1659985174
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    Entity Type          |    Individual 
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    Provider Name        |    ABIGAIL ROSE KIMBEL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/02/2020
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    Last Update Date     |    10/02/2025
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Provider Practice Location Address
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    Address Line         |    11990 JACKSON ST 
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    City                 |    CLINTON
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    State                |    LA
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    Zip                  |    70722-3210
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    Country              |    US
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    Telephone            |    225-683-5292
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    Fax                  |    225-683-1310
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Provider Business Mailing Address
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    Address Line         |    5848 MENLO DR 
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    City                 |    BATON ROUGE
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    State                |    LA
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    Zip                  |    70808-5047
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    Country              |    US
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    Telephone            |    
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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        |    374J00000X
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    Taxonomy Name        |    Doula
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    License Number       |    
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    License Number State |    
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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       |    234769
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    License Number State |    LA
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