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General NPI Number Information
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NPI Number | 1821025891
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Entity Type | Individual
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Provider Name | KIMBERLY S. SHIMER MD
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Gender | Female
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 01/28/2021
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Provider Practice Location Address
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Address Line | 4199 GATEWAY BLVD
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City | NEWBURGH
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State | IN
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Zip | 47630-8940
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Country | US
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Telephone | 812-842-4200
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Fax | 812-842-4219
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Provider Business Mailing Address
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Address Line | PO BOX 909 1050 BROOKSTONE CT.
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City | LOUISVILLE
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State | KY
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Zip | 40201
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Country | US
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Telephone | 502-588-0329
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Fax | 502-588-0326
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD37863
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | MD37863
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 40324
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 01073350A
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License Number State | IN
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