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General NPI Number Information
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NPI Number | 1962081026
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Entity Type | Individual
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Provider Name | KATELYN ELIZABETH GERRITY
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Gender | Female
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Dates
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Enumeration Date | 04/06/2021
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Last Update Date | 04/06/2021
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Provider Practice Location Address
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Address Line | 3400 CIVIC CENTER BLVD 11TH FLOOR SOUTH TOWER
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City | PHILADEPHIA
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State | PA
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Zip | 19104
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Country | US
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Telephone | 570-898-8758
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Fax |
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Provider Business Mailing Address
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Address Line | 319 E ALLEN ST UNIT 3
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City | PHILADEPHIA
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State | PA
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Zip | 19125
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Country | US
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Telephone | 570-898-8758
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | SP023402
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License Number State | PA
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