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General NPI Number Information
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NPI Number | 1669872008
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Entity Type | Individual
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Provider Name | KIMBERLEY EPHRAIM
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Gender | Female
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Dates
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Enumeration Date | 09/03/2014
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Last Update Date | 03/03/2015
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Provider Practice Location Address
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Address Line | 9185 RAMBLEWOOD DR APT 634
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-7069
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Country | US
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Telephone | 754-213-6525
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Fax |
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Provider Business Mailing Address
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Address Line | 9185 RAMBLEWOOD DR APT 634
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-7069
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Country | US
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Telephone | 754-213-6525
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 209053
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License Number State | FL
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