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General NPI Number Information
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NPI Number | 1134784929
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Entity Type | Individual
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Provider Name | KATELIN PHELAN CRNP
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Gender | Female
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Dates
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Enumeration Date | 05/07/2019
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 127 S 5TH ST STE 100
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City | QUAKERTOWN
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State | PA
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Zip | 18951-1681
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Country | US
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Telephone | 646-820-5283
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Fax | 215-966-8058
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Provider Business Mailing Address
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Address Line | 127 S 5TH ST STE 100
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City | QUAKERTOWN
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State | PA
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Zip | 18951-1681
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Country | US
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Telephone | 646-820-5283
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Fax | 215-966-8058
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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 | SP020213
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP033741
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License Number State | PA
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