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General NPI Number Information
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NPI Number | 1902947880
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Entity Type | Individual
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Provider Name | KIM HARBIN C.R.N.P.
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Gender | Male
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 01/26/2021
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Provider Practice Location Address
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Address Line | 2941 POINT MALLARD PKWY SE
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City | DECATUR
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State | AL
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Zip | 35603-5716
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Country | US
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Telephone | 256-432-2822
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Fax | 256-432-2825
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Provider Business Mailing Address
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Address Line | 2941 POINT MALLARD PKWY SE
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City | DECATUR
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State | AL
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Zip | 35603-5716
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Country | US
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Telephone | 256-432-2822
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Fax | 256-432-2825
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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 | 1-105407
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License Number State | AL
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