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General NPI Number Information
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NPI Number | 1861883167
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Entity Type | Individual
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Provider Name | KRISTINA POTTEIGER PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/09/2015
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 495 HIGHLAND BLVD STE 104
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City | VALLEY TOWNSHIP
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State | PA
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Zip | 19320-5822
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Country | US
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Telephone | 610-350-4150
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Fax | 877-472-1158
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Provider Business Mailing Address
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Address Line | 846 WILLIAMSBURG BLVD
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-4127
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Country | US
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Telephone | 240-432-6827
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Fax | 877-472-1158
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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