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General NPI Number Information
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NPI Number | 1285267070
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Entity Type | Individual
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Provider Name | PENELOPE TAIT DNP, CRNP, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/19/2020
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Last Update Date | 09/13/2026
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Provider Practice Location Address
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Address Line | 1050 E PHILADELPHIA AVE
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City | GILBERTSVILLE
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State | PA
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Zip | 19525-9669
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Country | US
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Telephone | 484-659-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 1672 INDIAN PATH CT
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City | QUAKERTOWN
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State | PA
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Zip | 18951-5739
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Country | US
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Telephone | 484-620-2145
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP025729
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License Number State | PA
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