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General NPI Number Information
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NPI Number | 1659257996
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Entity Type | Individual
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Provider Name | KRISTEN B FAHEY
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Gender | Female
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 643 MAIN ST
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City | SLATINGTON
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State | PA
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Zip | 18080-1458
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Country | US
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Telephone | 610-224-9311
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Fax | 814-266-2880
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Provider Business Mailing Address
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Address Line | 214 COLLEGE PARK PLZ
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City | JOHNSTOWN
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State | PA
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Zip | 15904-2833
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Country | US
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Telephone | 814-262-0025
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Fax | 814-266-2880
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5025240
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP033784
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 743098
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 858753
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License Number State | NY
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