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General NPI Number Information
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NPI Number | 1447141973
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Entity Type | Individual
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Provider Name | DEBORAH KISBEDO
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Gender | Female
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Dates
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Enumeration Date | 07/12/2025
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Last Update Date | 07/19/2025
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Provider Practice Location Address
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Address Line | 2110 STRINGTOWN RD
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City | GROVE CITY
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State | OH
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Zip | 43123-2931
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Country | US
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Telephone | 614-277-1325
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Fax |
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Provider Business Mailing Address
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Address Line | 8037 GRANT PARK AVE
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City | BLACKLICK
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State | OH
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Zip | 43004-5058
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Country | US
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Telephone | 513-601-6785
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03445621
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License Number State | OH
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