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General NPI Number Information
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NPI Number | 1457837445
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Entity Type | Individual
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Provider Name | KATHIE J KIRKLAND RN
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Gender | Female
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Dates
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Enumeration Date | 07/13/2018
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Last Update Date | 07/13/2018
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Provider Practice Location Address
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Address Line | 429 MANOR DR STE 10
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City | EBENSBURG
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State | PA
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Zip | 15931-4917
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Country | US
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Telephone | 814-472-6060
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Fax | 814-472-1293
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Provider Business Mailing Address
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Address Line | 839 WAINWRIGHT RD
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City | BLAIRSVILLE
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State | PA
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Zip | 15717-4608
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Country | US
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Telephone | 724-388-2611
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN500722L
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License Number State | PA
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