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General NPI Number Information
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NPI Number | 1992082150
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Entity Type | Individual
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Provider Name | KIMBERLY MICHELLE GRANT ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/15/2011
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 661 E ALTAMONTE DR STE 324
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-5103
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Country | US
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Telephone | 407-845-8354
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Fax | 407-645-5355
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Provider Business Mailing Address
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Address Line | 1115 E. RIDGEWOOD ST.
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City | ORLANDO
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State | FL
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Zip | 32803
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Country | US
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Telephone | 407-841-1100
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Fax | 407-650-0262
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP9227413
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN9227413
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License Number State | FL
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