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General NPI Number Information
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NPI Number | 1801232509
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Entity Type | Individual
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Provider Name | KYLE ELISABETH STIMPERT ACNP
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Gender | Female
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Dates
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Enumeration Date | 05/21/2013
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Last Update Date | 05/21/2013
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Provider Practice Location Address
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Address Line | 11100 EUCLID AVE SEIDMAN CANCER CENTER, 4TH FLOOR
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City | CLEVELAND
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State | OH
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Zip | 44106-1716
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Country | US
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Telephone | 216-286-3466
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Fax | 216-286-5779
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Provider Business Mailing Address
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Address Line | 11100 EUCLID AVE SEIDMAN CANCER CENTER, 4TH FLOOR
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City | CLEVELAND
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State | OH
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Zip | 44106-1716
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Country | US
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Telephone | 216-286-3466
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Fax | 216-286-5779
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | RN 323444
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License Number State | OH
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