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General NPI Number Information
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NPI Number | 1528380276
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Entity Type | Individual
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Provider Name | REBECCA JOSEPHINE KIKO CNP
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Gender | Female
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Dates
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Enumeration Date | 02/23/2010
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Last Update Date | 07/19/2022
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Provider Practice Location Address
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Address Line | 2600 SIXTH ST SW STE 800
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City | CANTON
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State | OH
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Zip | 44710-1702
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Country | US
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Telephone | 330-363-1342
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Fax |
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Provider Business Mailing Address
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Address Line | 5440 ESHELMAN ST
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City | LOUISVILLE
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State | OH
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Zip | 44641-8545
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Country | US
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Telephone | 330-875-6840
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | RN.267125-COA1
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License Number State | OH
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