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General NPI Number Information
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NPI Number | 1962269514
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Entity Type | Individual
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Provider Name | KIMBERLY YERXA NP
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Gender | Female
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Dates
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Enumeration Date | 02/29/2024
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 1 VA CTR
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City | AUGUSTA
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State | ME
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Zip | 04330-6796
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Country | US
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Telephone | 207-623-8411
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1205
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City | GRAY
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State | ME
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Zip | 04039-1205
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Country | US
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Telephone |
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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 | 364SG0600X
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Taxonomy Name | Gerontology Clinical Nurse Specialist
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License Number | CNP241085
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License Number State | ME
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