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General NPI Number Information
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NPI Number | 1083447643
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Entity Type | Individual
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Provider Name | KAYLA KALUZA CRNP
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Gender | Female
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Dates
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Enumeration Date | 08/20/2024
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 476 ROLLING RIDGE DR STE 101
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City | STATE COLLEGE
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State | PA
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Zip | 16801-7639
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Country | US
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Telephone | 814-689-4980
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Fax | 814-689-4990
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Provider Business Mailing Address
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Address Line | PO BOX 858 MC CA410
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City | HERSHEY
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State | PA
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Zip | 17033-0858
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Country | US
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Telephone | 800-243-1455
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN752642
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP030448
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License Number State | PA
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