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General NPI Number Information
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NPI Number | 1306279229
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Entity Type | Individual
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Provider Name | KERRI ARIELLE WEINSTEIN CRNP
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Gender | Female
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Dates
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Enumeration Date | 08/14/2013
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Last Update Date | 08/22/2014
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Provider Practice Location Address
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Address Line | 191 ERIE BLVD SUITE C
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City | SUSQUEHANNA
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State | PA
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Zip | 18847-2833
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Country | US
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Telephone | 570-853-0913
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Fax |
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Provider Business Mailing Address
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Address Line | 191 ERIE BLVD SUITE C
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City | SUSQUEHANNA
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State | PA
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Zip | 18847-2833
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Country | US
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Telephone | 814-883-5395
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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 | SP013082
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License Number State | PA
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