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General NPI Number Information
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NPI Number | 1700092277
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Entity Type | Individual
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Provider Name | RITA KIMBALL NP-P
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Gender | Female
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1285 ROUTE 9 STE 7B
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City | WAPPINGERS FALLS
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State | NY
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Zip | 12590-4993
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Country | US
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Telephone | 845-705-4804
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Fax | 419-273-0495
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Provider Business Mailing Address
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Address Line | 1285 ROUTE 9 SUITE 7B
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City | WAPPINGERS FALLS
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State | NY
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Zip | 12590-4993
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Country | US
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Telephone | 845-705-4804
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Fax | 845-632-2940
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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 | F400323
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License Number State | NY
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