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General NPI Number Information
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NPI Number | 1851077234
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Entity Type | Individual
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Provider Name | KATELYN MICHELLE NICHILO FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/22/2023
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 741 LOCUST AVE
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City | WASHINGTON
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State | PA
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Zip | 15301-2735
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Country | US
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Telephone | 724-906-4798
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Fax |
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Provider Business Mailing Address
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Address Line | 217 SAYLONG DR
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City | PITTSBURGH
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State | PA
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Zip | 15235-4326
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Country | US
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Telephone | 814-558-6372
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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 | SP028227
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License Number State | PA
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