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General NPI Number Information
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NPI Number | 1427927359
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Entity Type | Individual
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Provider Name | KATELYN ANN O'GORMAN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1200 S CEDAR CREST BLVD
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City | ALLENTOWN
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State | PA
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Zip | 18103-6202
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Country | US
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Telephone | 484-862-3772
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Fax |
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Provider Business Mailing Address
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Address Line | 237 LAUREL DR
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City | SUMMIT HILL
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State | PA
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Zip | 18250-1705
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Country | US
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Telephone | 484-862-3772
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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 | SP033994
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License Number State | PA
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