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General NPI Number Information
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NPI Number | 1326572363
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Entity Type | Individual
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Provider Name | KAYLA ZAMBIASI
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Gender | Female
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Dates
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Enumeration Date | 04/17/2017
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Last Update Date | 04/17/2017
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Provider Practice Location Address
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Address Line | 410 GLENN AVE
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City | BLOOMSBURG
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State | PA
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Zip | 17815-1200
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Country | US
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Telephone | 570-784-1723
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Fax | 570-784-8512
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Provider Business Mailing Address
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Address Line | 410 GLENN AVE
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City | BLOOMSBURG
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State | PA
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Zip | 17815-1200
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Country | US
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Telephone | 570-784-1723
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Fax | 570-784-8512
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN657768
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License Number State | PA
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