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General NPI Number Information
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NPI Number | 1720392533
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Entity Type | Individual
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Provider Name | KATHLEEN ELIZABETH POOL CNM
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Gender | Female
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Dates
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Enumeration Date | 08/04/2010
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Last Update Date | 10/12/2024
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Provider Practice Location Address
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Address Line | 500 W MARKET ST
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City | TIFFIN
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State | OH
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Zip | 44883-2610
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Country | US
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Telephone | 419-447-6900
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Fax | 419-448-7881
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Provider Business Mailing Address
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Address Line | 2200 JEFFERSON AVE 5TH FLOOR
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City | TOLEDO
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State | OH
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Zip | 43604-7101
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Country | US
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Telephone |
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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 | 163WX0003X
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Taxonomy Name | Inpatient Obstetric Registered Nurse
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License Number | RN-284713
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | APRN.CNM.11422
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License Number State | OH
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