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General NPI Number Information
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NPI Number | 1720890601
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Entity Type | Individual
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Provider Name | KIMBERLY DANIELS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 07/27/2025
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Provider Practice Location Address
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Address Line | 10175 LITTLE PATUXENT PKWY
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City | COLUMBIA
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State | MD
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Zip | 21044-2655
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Country | US
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Telephone | 410-715-1890
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Fax |
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Provider Business Mailing Address
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Address Line | 1430 BRENTWOOD ST
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City | ORANGEBURG
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State | SC
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Zip | 29115-7004
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Country | US
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Telephone | 803-378-5725
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 30003
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License Number State | SC
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