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General NPI Number Information
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NPI Number | 1750982138
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Entity Type | Individual
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Provider Name | BRIDGET PATRICIA KAMP CNP
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Gender | Female
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Dates
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Enumeration Date | 11/03/2020
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Last Update Date | 11/03/2020
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Provider Practice Location Address
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Address Line | 5001 ROCKSIDE RD
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2172
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Country | US
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Telephone | 317-313-9711
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Fax |
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Provider Business Mailing Address
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Address Line | 2611 UNIVERSITY BLVD
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City | UNIVERSITY HEIGHTS
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State | OH
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Zip | 44118-4729
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Country | US
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Telephone | 317-313-9711
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | APRN.CNP.0027842
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License Number State | OH
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