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General NPI Number Information
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NPI Number | 1790024602
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Entity Type | Individual
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Provider Name | RACHEL MICHELE KIRMEYER PNP
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Gender | Female
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Dates
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Enumeration Date | 02/12/2013
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Last Update Date | 05/14/2018
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Provider Practice Location Address
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Address Line | 262 DANNY THOMAS PL
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City | MEMPHIS
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State | TN
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Zip | 38105
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Country | US
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Telephone | 901-595-3655
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Fax |
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Provider Business Mailing Address
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Address Line | 3675 SHELBY CV
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City | HERNANDO
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State | MS
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Zip | 38632-7765
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Country | US
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Telephone | 901-494-2202
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 17357
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License Number State | TN
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