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General NPI Number Information
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NPI Number | 1396531265
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Entity Type | Individual
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Provider Name | BRIDGET PATRICIA KILBANE LPC
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Gender | Female
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 18660 BAGLEY RD # 404
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City | MIDDLEBURG HEIGHTS
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State | OH
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Zip | 44130-3483
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Country | US
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Telephone | 440-234-8746
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Fax |
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Provider Business Mailing Address
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Address Line | 27728 HOLLYWOOD DR
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City | WESTLAKE
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State | OH
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Zip | 44145-5362
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Country | US
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Telephone | 440-823-7807
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C.2406648
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License Number State | OH
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