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General NPI Number Information
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NPI Number | 1952360299
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Entity Type | Individual
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Provider Name | KIMBERLY M SUNDBERG CRNA
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Gender | Female
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 3000 CORAL HILLS DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-4108
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Country | US
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Telephone | 954-344-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1525 WEST CYPRESS CREEK ROAD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309
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Country | US
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Telephone | 954-939-5577
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Fax | 954-484-1651
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN2963352
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License Number State | FL
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