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General NPI Number Information
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NPI Number | 1922128818
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Entity Type | Individual
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Provider Name | JOANNE MARY KEGLOVITS NP
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Gender | Female
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2321 N BROAD ST
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City | COLMAR
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State | PA
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Zip | 18915-9702
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Country | US
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Telephone | 215-997-3600
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Fax | 215-997-9409
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Provider Business Mailing Address
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Address Line | 380 ADAMS LN
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City | BATH
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State | PA
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Zip | 18014-9427
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Country | US
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Telephone | 610-837-8715
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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 | VP003402B
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License Number State | PA
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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 | VP003402B
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License Number State | PA
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