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General NPI Number Information
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NPI Number | 1366910283
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Entity Type | Individual
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Provider Name | KELSIE J HARDY CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/08/2018
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Last Update Date | 11/13/2018
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Provider Practice Location Address
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Address Line | 2201 PARK MANOR BLVD STE 200
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City | PITTSBURGH
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State | PA
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Zip | 15205-4819
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Country | US
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Telephone | 724-773-8950
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Fax | 724-773-8952
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Provider Business Mailing Address
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Address Line | 915 ANTHONY WAYNE DR
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City | BADEN
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State | PA
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Zip | 15005-2105
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Country | US
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Telephone |
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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 | SP019534
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License Number State | PA
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