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General NPI Number Information
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NPI Number | 1811930951
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Entity Type | Individual
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Provider Name | KIMBERLY SIMONEAUX CPNP
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Gender | Female
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 11/16/2024
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Provider Practice Location Address
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Address Line | 15695 PROFESSIONAL PLZ
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City | HAMMOND
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State | LA
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Zip | 70403-1411
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Country | US
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Telephone | 985-542-2599
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Fax | 985-345-0880
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Provider Business Mailing Address
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Address Line | PO BOX 2668 BUSINESS CTR - INS CREDENTIALING
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City | HAMMOND
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State | LA
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Zip | 70404-2668
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Country | US
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Telephone | 985-230-1682
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Fax | 985-230-6652
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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 | AP04904
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License Number State | LA
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