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General NPI Number Information
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NPI Number | 1053951046
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Entity Type | Individual
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Provider Name | KAITLIN JADE WARD
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Gender | Female
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Dates
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Enumeration Date | 01/08/2020
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 2854 BELL ST
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City | ZANESVILLE
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State | OH
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Zip | 43701-1721
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Country | US
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Telephone | 740-454-3273
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Fax |
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Provider Business Mailing Address
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Address Line | 5518 OAKHURST DR
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City | HEBRON
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State | OH
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Zip | 43025-9020
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Country | US
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Telephone | 740-213-4384
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.006294RX
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License Number State | OH
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