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General NPI Number Information
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NPI Number | 1568388171
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Entity Type | Individual
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Provider Name | KATHRYN MARIE MACASERO TAYLOR
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Gender | Female
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 323 S 1ST ST
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City | BELLWOOD
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State | PA
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Zip | 16617-2101
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Country | US
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Telephone | 814-310-1014
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Fax |
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Provider Business Mailing Address
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Address Line | 1583 CURRYVILLE RD
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City | MARTINSBURG
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State | PA
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Zip | 16662-8724
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN321621
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License Number State | PA
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