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General NPI Number Information
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NPI Number | 1306340344
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Entity Type | Individual
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Provider Name | KATHLEEN M. MCLOUGHLIN CRNP
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Gender | Female
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 05/31/2025
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Provider Practice Location Address
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Address Line | 3959 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10032-1559
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Country | US
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Telephone | 212-305-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 255 W LANCASTER AVE
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City | PAOLI
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State | PA
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Zip | 19301-1763
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Country | US
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Telephone | 610-334-8341
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Fax | 610-649-4735
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | SP018704
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 382913
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP018704
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License Number State | PA
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