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General NPI Number Information
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NPI Number | 1962225144
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Entity Type | Organization
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Legal Business Name | K.I.M.S-KEEPING IT MEDICAL SERVICES PLLC
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 867 BEDROCK DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-2561
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Country | US
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Telephone | 910-747-7741
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Fax |
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Provider Business Mailing Address
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Address Line | 867 BEDROCK DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-2561
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Country | US
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Telephone | 910-747-7741
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | YIROSHA KIM WEMBLEY
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Credential | RN
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Telephone | 910-747-7741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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