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General NPI Number Information
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NPI Number | 1861489189
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Entity Type | Individual
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Provider Name | KIMBERLY A WESTRA CRNA
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Gender | Female
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 640 S STATE ST
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City | DOVER
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State | DE
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Zip | 19901-3530
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Country | US
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Telephone | 302-674-4700
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Fax | 302-744-6407
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Provider Business Mailing Address
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Address Line | 14119 SEA CAPTAIN RD
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City | OCEAN CITY
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State | MD
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Zip | 21842-5637
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Country | US
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Telephone | 215-917-6678
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN354673L
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License Number State | PA
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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 | 053594
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License Number State | PA
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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 | L6-0A00820
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 0024183064
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License Number State | VA
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