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General NPI Number Information
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NPI Number | 1619567161
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Entity Type | Individual
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Provider Name | KAMI WAST CRNP
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Gender | Female
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Dates
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Enumeration Date | 01/19/2021
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Last Update Date | 10/05/2022
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Provider Practice Location Address
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Address Line | 643 N MAIN ST
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City | GREENSBURG
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State | PA
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Zip | 15601-1603
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Country | US
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Telephone | 412-709-5119
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Fax | 412-426-3770
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Provider Business Mailing Address
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Address Line | 11525 CLEMATIS BLVD
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City | PITTSBURGH
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State | PA
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Zip | 15235-3105
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Country | US
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Telephone | 724-858-6261
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP022843
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN682611
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License Number State | PA
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