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General NPI Number Information
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NPI Number | 1801282116
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Entity Type | Individual
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Provider Name | KIMBERLY ANN OGLESBY-MCCOWAN FNP
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Gender | Female
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Dates
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Enumeration Date | 04/13/2015
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 1901 OUTLET CENTER DR
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City | OXNARD
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State | CA
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Zip | 93036-0663
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Country | US
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Telephone | 805-981-8300
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Fax | 805-981-8302
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Provider Business Mailing Address
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Address Line | 4240 HARBOUR ISLAND LANE
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City | OXNARD
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State | CA
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Zip | 93035
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Country | US
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Telephone | 805-797-3599
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP95002183
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License Number State | CA
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