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General NPI Number Information
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NPI Number | 1730602012
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Entity Type | Individual
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Provider Name | KIMBERLY S ARENBURG LPN
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Gender | Female
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Dates
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Enumeration Date | 07/19/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2452 S. CONWAY RD APT 337
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City | ORLANDO
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State | FL
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Zip | 32812
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Country | US
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Telephone | 321-225-9145
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Fax |
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Provider Business Mailing Address
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Address Line | 2452 CONWAY RD APT 337
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City | ORLANDO
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State | FL
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Zip | 32812-4317
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Country | US
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Telephone | 321-225-9145
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN5193429
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License Number State | FL
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