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General NPI Number Information
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NPI Number | 1245066299
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Entity Type | Individual
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Provider Name | ANNA KENNEDY RN, MSN, PCCN, ACCNS
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Gender | Female
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Dates
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Enumeration Date | 09/09/2024
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 2160 STATE RD
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City | LANCASTER
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State | PA
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Zip | 17601-1812
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Country | US
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Telephone | 717-318-4508
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Fax |
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Provider Business Mailing Address
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Address Line | 186 KONHAUS RD
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City | MECHANICSBURG
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State | PA
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Zip | 17050-3126
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Country | US
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Telephone | 717-991-8589
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | RN671952
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | CNS000387
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License Number State | PA
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