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General NPI Number Information
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NPI Number | 1316823925
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Entity Type | Individual
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Provider Name | ERIN KATHLEEN THRELFALL CRNP
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Gender | Female
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 1098 W BALTIMORE PIKE
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City | MEDIA
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State | PA
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Zip | 19063-5139
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Country | US
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Telephone | 215-565-2415
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Fax |
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Provider Business Mailing Address
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Address Line | 617 BELL LN
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City | MAPLE GLEN
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State | PA
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Zip | 19002-3306
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Country | US
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Telephone | 215-740-4693
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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 | SP033568
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License Number State | PA
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