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General NPI Number Information
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NPI Number | 1346335718
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Entity Type | Individual
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Provider Name | KATHLEEN ANN WALSH N.P.
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 02/18/2021
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Provider Practice Location Address
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Address Line | 5105 SOM CENTER ROAD
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City | WILLOUGHBY
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State | OH
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Zip | 44094
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Country | US
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Telephone | 216-524-7377
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Fax | 440-975-4617
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Provider Business Mailing Address
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Address Line | 1730 S REYNOLDS RD
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City | TOLEDO
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State | OH
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Zip | 43614-1402
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Country | US
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Telephone | 419-893-5557
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN-189853
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP-01881
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License Number State | OH
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