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General NPI Number Information
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NPI Number | 1609879642
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Entity Type | Individual
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Provider Name | KATHLEEN ANN STALLSMITH RN
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Gender | Female
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1800 CENTER STREET
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City | CAMP HILL
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State | PA
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Zip | 17089-0001
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Country | US
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Telephone | 717-302-4056
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Fax | 866-507-6567
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Provider Business Mailing Address
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Address Line | 138 FIELDSTONE DR
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City | CARLISLE
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State | PA
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Zip | 17013-9036
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Country | US
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Telephone | 717-766-4057
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN258274L
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License Number State | PA
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