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General NPI Number Information
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NPI Number | 1871995621
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Entity Type | Individual
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Provider Name | KIMBERLY RENEE SIMMONS-GILREATH FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/24/2014
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Last Update Date | 04/19/2020
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Provider Practice Location Address
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Address Line | 1951 NW 7TH AVE STE 300
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City | MIAMI
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State | FL
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Zip | 33136-1112
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Country | US
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Telephone | 305-902-6347
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Fax | 727-306-8033
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Provider Business Mailing Address
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Address Line | 446 MORGAN ST
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City | CINCINNATI
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State | OH
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Zip | 45206-2348
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Country | US
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Telephone | 513-834-7063
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Fax | 513-873-1567
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP16382
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.16382-NP
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License Number State | OH
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