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General NPI Number Information
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NPI Number | 1912335100
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Entity Type | Individual
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Provider Name | KIMBERLY H GRAW APRN, BC, FNP
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Gender | Female
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Dates
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Enumeration Date | 10/24/2013
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 130 N GROSS RD STE 205
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City | KINGSLAND
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State | GA
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Zip | 31548-6277
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Country | US
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Telephone | 912-576-3880
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Fax | 912-216-3287
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Provider Business Mailing Address
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Address Line | 951 BRISTOL HAMMOCK CIR
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City | KINGSLAND
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State | GA
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Zip | 31548-6040
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Country | US
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Telephone | 912-552-0678
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Fax | 912-216-3496
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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 | RN191658
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License Number State | GA
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