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General NPI Number Information
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NPI Number | 1578369369
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Entity Type | Individual
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Provider Name | KATHY MARIE FARRELL CNS
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Gender | Female
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 420 S 5TH AVE
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City | WEST READING
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State | PA
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Zip | 19611-2143
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Country | US
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Telephone | 484-628-4527
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Fax |
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Provider Business Mailing Address
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Address Line | 4757 MACGREGOR DR
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City | SCHWENKSVILLE
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State | PA
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Zip | 19473-2146
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Country | US
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Telephone | 570-436-8757
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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 | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | RN556102
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License Number State | PA
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