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General NPI Number Information
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NPI Number | 1952685075
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Entity Type | Individual
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Provider Name | KRISTIN BAKER SPITZNAGEL PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/07/2011
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Last Update Date | 05/07/2020
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Provider Practice Location Address
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Address Line | 6645 PRINCETON GLENDALE RD
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City | LIBERTY TWP
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State | OH
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Zip | 45011-7547
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Country | US
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Telephone | 513-829-2883
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Fax | 513-829-6346
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Provider Business Mailing Address
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Address Line | 2830 VICTORY PARKWAY PAYOR ENROLLMENT
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City | CINCINNATI
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State | OH
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Zip | 45206-1785
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Country | US
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Telephone | 513-585-5507
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.003438
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License Number State | OH
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