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General NPI Number Information
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NPI Number | 1114667581
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Entity Type | Individual
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Provider Name | KRISTIN PETIT MD
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Gender | Female
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Dates
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Enumeration Date | 03/31/2022
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Last Update Date | 02/21/2026
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Provider Practice Location Address
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Address Line | 6770 CINCINNATI DAYTON RD
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City | LIBERTY TOWNSHIP
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State | OH
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Zip | 45044-9318
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Country | US
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Telephone | 513-276-4981
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Fax |
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Provider Business Mailing Address
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Address Line | 6770 CINCINNATI DAYTON RD STE 200
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City | LIBERTY TOWNSHIP
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State | OH
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Zip | 45044-9319
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 35.153589
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License Number State | OH
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