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General NPI Number Information
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NPI Number | 1174705057
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Entity Type | Individual
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Provider Name | KATHRYN A PILLIOD-CARPENTER FNP
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Gender | Female
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 09/30/2019
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Provider Practice Location Address
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Address Line | 2702 NAVARRE AVE SUITE 201
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City | OREGON
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State | OH
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Zip | 43616-3223
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Country | US
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Telephone | 419-698-8560
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Fax | 419-698-8570
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Provider Business Mailing Address
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Address Line | 3355 GLENDALE AVENUE 3RD FL
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City | TOLEDO
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State | OH
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Zip | 43614
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Country | US
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Telephone | 419-383-7100
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Fax | 419-383-2000
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 09779NP
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License Number State | OH
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