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General NPI Number Information
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NPI Number | 1821576539
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Entity Type | Individual
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Provider Name | KIMBERLY JEAN HOLZMACHER MSN, RN, SCRN,AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/03/2018
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Last Update Date | 08/03/2018
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Provider Practice Location Address
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Address Line | DUKE UNIVERSITY MEDICAL CENTER 3807 200 TRENT DRIVE
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City | DURHAM
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State | NC
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Zip | 27710-0001
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Country | US
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Telephone | 919-684-5301
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Fax |
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Provider Business Mailing Address
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Address Line | 1216 CHECKERBERRY DR
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City | MORRISVILLE
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State | NC
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Zip | 27560-9746
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Country | US
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Telephone | 919-599-1687
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5010784
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License Number State | NC
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