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General NPI Number Information
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NPI Number | 1588023287
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Entity Type | Individual
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Provider Name | PAGE M. KISSINGER
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Gender | Female
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Dates
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Enumeration Date | 02/23/2016
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Last Update Date | 06/02/2021
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Provider Practice Location Address
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Address Line | 46 WALNUT BOTTOM RD STE 200
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City | SHIPPENSBURG
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State | PA
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Zip | 17257-8219
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Country | US
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Telephone | 717-532-4148
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Fax | 717-532-3561
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Provider Business Mailing Address
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Address Line | 785 5TH AVE SUITE 3
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-4232
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Country | US
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Telephone | 717-263-9555
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Fax | 717-217-4218
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP015939
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License Number State | PA
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