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General NPI Number Information
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NPI Number | 1477384329
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Entity Type | Individual
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Provider Name | MS. KAITLIN DIANE APOSTOL
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Gender | Female
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Dates
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Enumeration Date | 08/12/2024
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 2913 KENSINGTON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19134-3016
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Country | US
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Telephone | 215-634-5272
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Fax |
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Provider Business Mailing Address
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Address Line | 1334 S DOVER ST
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City | PHILADELPHIA
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State | PA
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Zip | 19146-3622
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Country | US
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Telephone | 484-478-4199
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP030364
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License Number State | PA
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