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General NPI Number Information
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NPI Number | 1841239738
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Entity Type | Individual
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Provider Name | KIMBERLY R NEELY GNP
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Gender | Female
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 231 S COLLINS RD
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City | SUNNYVALE
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State | TX
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Zip | 75182-4624
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Country | US
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Telephone | 972-892-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 6420 LA PAZ RANCH RD
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-7287
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Country | US
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Telephone | 972-903-4343
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Fax | 972-903-4343
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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 | 163WG0600X
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Taxonomy Name | Gerontology Registered Nurse
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License Number | 631908
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | AP107482
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License Number State | TX
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