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General NPI Number Information
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NPI Number | 1851745186
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Entity Type | Individual
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Provider Name | KATHLEEN GIANNONE CRNP
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Gender | Female
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Dates
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Enumeration Date | 04/23/2016
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Last Update Date | 04/23/2016
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Provider Practice Location Address
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Address Line | 1330 POWELL ST NICHOLAS & ATHENA KARABOTS MEDICAL BUILDING, SUITE 507
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City | NORRISTOWN
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State | PA
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Zip | 19401-3353
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Country | US
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Telephone | 484-622-7300
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Fax | 484-622-7310
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Provider Business Mailing Address
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Address Line | 1332 E PALMER ST
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City | PHILADELPHIA
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State | PA
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Zip | 19125-3321
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Country | US
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Telephone | 609-413-6418
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | SP015748
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License Number State | PA
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