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General NPI Number Information
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NPI Number | 1114871563
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Entity Type | Individual
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Provider Name | KIERSTEN MARIE KROUSE
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Gender | Female
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 38 N 4TH ST
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City | ALLENTOWN
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State | PA
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Zip | 18102-3448
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Country | US
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Telephone | 717-545-5787
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Fax |
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Provider Business Mailing Address
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Address Line | 431 TIMBER CIR
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City | WAYNE
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State | PA
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Zip | 19087-2358
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Country | US
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Telephone |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | OA007668
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License Number State | PA
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