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General NPI Number Information
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NPI Number | 1700100518
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Entity Type | Individual
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Provider Name | KIM L DESCH BSN, NP
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Gender | Female
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Dates
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Enumeration Date | 03/23/2010
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 1734 COYOTE CT
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City | VISTA
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State | CA
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Zip | 92084-3250
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Country | US
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Telephone | 858-682-4078
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Fax | 760-634-2589
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Provider Business Mailing Address
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Address Line | 1301 VILLAGE DR APT 105
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City | RAPID CITY
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State | SD
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Zip | 57701-8150
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Country | US
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Telephone | 858-682-4078
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 6518
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License Number State | CA
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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 | 436897
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License Number State | CA
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