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General NPI Number Information
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NPI Number | 1437397163
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Entity Type | Individual
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Provider Name | KATHARINE ELIZABETH BEACH MSN, RN, FNP
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Gender | Female
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Dates
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Enumeration Date | 02/03/2009
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Last Update Date | 12/11/2012
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Provider Practice Location Address
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Address Line | 3740 W SYLVANIA AVE SUITE 250
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City | TOLEDO
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State | OH
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Zip | 43623-4461
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Country | US
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Telephone | 419-473-6670
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Fax |
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Provider Business Mailing Address
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Address Line | 23934 W MEADOW DR
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City | GENOA
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State | OH
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Zip | 43430-1032
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Country | US
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Telephone | 419-306-5330
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.328171
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.13710-NP
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License Number State | OH
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