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General NPI Number Information
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NPI Number | 1871850214
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Entity Type | Individual
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Provider Name | KIMBERLY ANN ANDERSON N.P.
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Gender | Female
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Dates
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Enumeration Date | 04/23/2012
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Last Update Date | 10/10/2013
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Provider Practice Location Address
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Address Line | 3921 E BASELINE RD SUITE 100
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City | GILBERT
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State | AZ
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Zip | 85234-2727
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Country | US
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Telephone | 480-668-4411
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Fax | 480-776-5169
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Provider Business Mailing Address
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Address Line | 3921 E BASELINE RD SUITE 100
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City | GILBERT
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State | AZ
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Zip | 85234-2727
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Country | US
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Telephone | 480-668-4411
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Fax | 480-776-5169
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | AP4445
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License Number State | AZ
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