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General NPI Number Information
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NPI Number | 1851120984
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Entity Type | Individual
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Provider Name | KAITLIN LONDOT FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/29/2024
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 1717 WEST MAIN ST STE 203
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City | NEWARK
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State | OH
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Zip | 43055
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Country | US
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Telephone | 220-564-2950
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Fax | 220-564-2951
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Provider Business Mailing Address
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Address Line | 1717 WEST MAIN ST STE 203
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City | NEWARK
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State | OH
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Zip | 43055
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Country | US
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Telephone | 220-564-2950
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Fax | 220-564-2951
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0037090
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.0037090
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | RN.417533
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License Number State | OH
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