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General NPI Number Information
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NPI Number | 1942875067
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Entity Type | Individual
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Provider Name | EMMA WILLIAM KIME ARNP
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Gender | Female
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Dates
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Enumeration Date | 05/21/2021
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Last Update Date | 08/02/2022
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Provider Practice Location Address
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Address Line | MERCYONE WEST DES MOINES MEDICAL CENTER 1755 59TH PL
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City | WEST DES MOINES
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State | IA
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Zip | 50266-5026
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Country | US
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Telephone | 515-358-8500
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Fax |
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Provider Business Mailing Address
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Address Line | 605 SE CARDINAL LN
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City | WAUKEE
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State | IA
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Zip | 50263-9664
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Country | US
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Telephone | 515-525-8534
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | A163089
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License Number State | IA
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