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General NPI Number Information
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NPI Number | 1205379047
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Entity Type | Individual
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Provider Name | ANDREA S KIRBY CNP
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Gender | Female
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Dates
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Enumeration Date | 11/28/2016
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Last Update Date | 11/28/2016
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Provider Practice Location Address
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Address Line | 3705 OLENTANGY RIVER RD SUITE 100
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City | COLUMBUS
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State | OH
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Zip | 43214-3467
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Country | US
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Telephone | 614-262-6772
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Fax | 614-533-0161
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Provider Business Mailing Address
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Address Line | 5400 FRANTZ RD SUITE 250
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City | DUBLIN
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State | OH
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Zip | 43016-4144
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Country | US
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Telephone | 614-544-6382
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Fax | 614-544-6370
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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 | RN.335227
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License Number State | OH
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