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General NPI Number Information
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NPI Number | 1982159364
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Entity Type | Individual
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Provider Name | KAYLA MARIE ZERKLE FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/16/2016
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Last Update Date | 12/22/2021
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Provider Practice Location Address
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Address Line | 254 PINECREST DR
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City | GALLIPOLIS
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State | OH
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Zip | 45631-1347
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Country | US
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Telephone | 740-578-4824
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Fax | 740-578-4821
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Provider Business Mailing Address
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Address Line | 2540 WHEATON RD
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City | BIDWELL
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State | OH
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Zip | 45614-9348
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Country | US
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Telephone | 740-645-1521
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 019714
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | 5993
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License Number State | OH
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