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General NPI Number Information
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NPI Number | 1396399077
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Entity Type | Individual
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Provider Name | KIMBERLY ANNMARIE BABICH-SPECK APRN CNP
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Gender | Female
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Dates
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Enumeration Date | 07/30/2019
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Last Update Date | 10/31/2023
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Provider Practice Location Address
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Address Line | 5526 DETROIT RD
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City | SHEFFIELD VILLAGE
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State | OH
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Zip | 44035-1442
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Country | US
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Telephone | 440-961-2620
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Fax |
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Provider Business Mailing Address
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Address Line | 19443 SPINNAKER CIR
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City | STRONGSVILLE
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State | OH
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Zip | 44136-7110
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Country | US
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Telephone | 440-708-8434
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.024670
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License Number State | OH
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