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General NPI Number Information
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NPI Number | 1225438179
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Entity Type | Individual
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Provider Name | KAITLYN COONEY PETERS NP
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Gender | Female
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Dates
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Enumeration Date | 08/28/2014
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 37 EDGEWOOD DR
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City | HO HO KUS
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State | NJ
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Zip | 07423-1527
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Country | US
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Telephone | 201-401-9113
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Fax |
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Provider Business Mailing Address
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Address Line | 37 EDGEWOOD DR
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City | HO HO KUS
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State | NJ
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Zip | 07423-1527
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Country | US
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Telephone | 201-401-9113
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 348716
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License Number State | NY
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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 | APRN11014609
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95019265
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ01213000
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 81272
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License Number State | KS
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