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General NPI Number Information
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NPI Number | 1992632186
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Entity Type | Individual
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Provider Name | KIMBERLY JOANN WEBSTER RN
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Gender | Female
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 682 N CREEKSIDE DR
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City | PRESCOTT
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State | AZ
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Zip | 86303-6821
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Country | US
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Telephone | 330-466-0161
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Fax |
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Provider Business Mailing Address
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Address Line | 2942 N 24TH ST STE 115
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City | PHOENIX
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State | AZ
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Zip | 85016-7849
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Country | US
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Telephone | 928-224-9279
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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 | 364SH1100X
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Taxonomy Name | Holistic Clinical Nurse Specialist
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License Number | 247748
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License Number State | AZ
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