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General NPI Number Information
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NPI Number | 1841779816
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Entity Type | Individual
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Provider Name | KIMBERLY WYNHOF CRNA
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Gender | Female
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Dates
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Enumeration Date | 08/10/2018
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 529 CENTRAL AVE
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City | DUNKIRK
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State | NY
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Zip | 14048-2514
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Country | US
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Telephone | 716-366-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 1305 WALT WHITMAN RD STE 300
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City | MELVILLE
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State | NY
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Zip | 11747-4300
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Country | US
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Telephone | 516-370-3747
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 868920
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 2021020876
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 078622-23
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License Number State | NH
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