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General NPI Number Information
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NPI Number | 1790746808
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Entity Type | Individual
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Provider Name | KAREN ANN ZIMMERMAN CNM, FNP
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Gender | Female
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1825 WOODWINDS DRIVE
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City | WOODBURY
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State | MN
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Zip | 55125-2298
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Country | US
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Telephone | 651-232-6700
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Fax | 505-890-5933
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Provider Business Mailing Address
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Address Line | 201 CEDAR ST SE STE. 5640
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-4917
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Country | US
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Telephone | 505-843-6168
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Fax | 505-247-9743
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R42003
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 491
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License Number State | NM
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