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General NPI Number Information
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NPI Number | 1821029489
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Entity Type | Individual
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Provider Name | KATHERINE S GILMORE CNP
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Gender | Female
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 02/24/2015
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Provider Practice Location Address
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Address Line | 6728 LOOP RD BLDG 5, SUITE 301
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City | CENTERVILLE
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State | OH
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Zip | 45459-2196
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Country | US
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Telephone | 937-438-5333
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Fax | 937-438-0160
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Provider Business Mailing Address
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Address Line | 6728 LOOP RD BLDG 5, SUITE 301
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City | CENTERVILLE
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State | OH
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Zip | 45459-2196
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Country | US
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Telephone | 937-438-5333
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Fax | 937-438-0160
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP07362
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License Number State | OH
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