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General NPI Number Information
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NPI Number | 1871630269
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Entity Type | Organization
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Legal Business Name | KATHLEEN S. SPILLANE, MD INC
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 200 VETERANS LN
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City | DOYLESTOWN
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State | PA
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Zip | 18901-6716
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Country | US
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Telephone | 215-435-6895
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 218
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City | WARRINGTON
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State | PA
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Zip | 18976-0218
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Country | US
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Telephone | 215-435-6895
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KATHLEEN S SPILLANE
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Credential | MD
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Telephone | 215-435-6895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MD424219
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License Number State | PA
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