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General NPI Number Information
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NPI Number | 1780056481
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Entity Type | Individual
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Provider Name | KIMBERLY COLE NP
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Gender | Female
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Dates
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Enumeration Date | 10/21/2015
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 1510 FLORIDA AVE
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City | MODESTO
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State | CA
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Zip | 95350-4437
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Country | US
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Telephone | 209-722-4842
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Fax |
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Provider Business Mailing Address
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Address Line | 240 N TILLOTSON AVE
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City | MUNCIE
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State | IN
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Zip | 47304-3988
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Country | US
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Telephone | 765-288-1928
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Fax | 765-741-0335
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 71005881B
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 95033625
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License Number State | CA
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