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General NPI Number Information
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NPI Number | 1548394125
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Entity Type | Individual
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Provider Name | KIMBERLY ANN MEAD CPNP
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Gender | Female
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 752 WAYCROSS RD
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City | CINCINNATI
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State | OH
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Zip | 45240-3184
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Country | US
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Telephone | 513-825-9595
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Fax |
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Provider Business Mailing Address
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Address Line | 4224 OAKWOOD AVE
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City | CINCINNATI
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State | OH
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Zip | 45236-2526
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Country | US
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Telephone | 513-321-2198
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | RN.314602
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License Number State | OH
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