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General NPI Number Information
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NPI Number | 1932508819
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Entity Type | Individual
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Provider Name | KATHRYN SEVERSON APN, WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/18/2014
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Last Update Date | 02/04/2019
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Provider Practice Location Address
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Address Line | 105 VINEYARD WAY STE 200
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City | WEST GROVE
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State | PA
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Zip | 19390
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Country | US
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Telephone | 610-444-7550
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Fax | 610-444-4656
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Provider Business Mailing Address
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Address Line | 105 VINEYARD WAY STE 200
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City | WEST GROVE
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State | PA
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Zip | 19390-8849
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Country | US
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Telephone | 610-444-7550
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Fax | 610-444-4656
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | L1-0043433
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | LH-0000209
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | SP017509
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License Number State | PA
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