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General NPI Number Information
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NPI Number | 1871163626
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Entity Type | Individual
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Provider Name | KIMBERLY SUZANNE COLLINS FNP
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Gender | Female
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Dates
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Enumeration Date | 06/24/2021
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Last Update Date | 06/17/2022
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Provider Practice Location Address
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Address Line | 125 BILTMORE DR STE 1
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City | ROCKINGHAM
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State | NC
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Zip | 28379-5017
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Country | US
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Telephone | 910-719-3666
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Fax |
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Provider Business Mailing Address
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Address Line | 6233 7 LKS W
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City | WEST END
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State | NC
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Zip | 27376-9345
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Country | US
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Telephone | 716-499-1600
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5014449
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License Number State | NC
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