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General NPI Number Information
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NPI Number | 1508770520
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Entity Type | Organization
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Legal Business Name | KATHERMAN TONGUE TIE CENTER, LLC
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 810 BONNEVIEW RD
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City | YORK
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State | PA
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Zip | 17406-2001
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Country | US
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Telephone | 814-657-5577
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Fax |
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Provider Business Mailing Address
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Address Line | 3688 PLEASANT VALLEY RD
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City | YORK
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State | PA
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Zip | 17406-6606
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Country | US
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Telephone | 814-657-5577
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. KAITLYN KATHERMAN
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Credential | DMD, FICD, IBCLC
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Telephone | 814-657-5577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State | NULL
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