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General NPI Number Information
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NPI Number | 1023494952
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Entity Type | Individual
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Provider Name | KATHRYN ELIZABETH ROSENBECK CPNP
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Gender | Female
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Dates
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Enumeration Date | 08/03/2015
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 915 MICHIGAN ST STE 200
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City | SIDNEY
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State | OH
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Zip | 45365-2401
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Country | US
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Telephone | 937-498-4880
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Fax | 937-494-5295
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Provider Business Mailing Address
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Address Line | PO BOX 933432
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City | CLEVELAND
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State | OH
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Zip | 44193-0039
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Country | US
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Telephone | 937-498-4880
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Fax | 937-494-5295
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | NP17496
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License Number State | OH
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