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NPI Code Detail

MEDICARE: KATHERINE PAIGE PODLASKI

MEDICARE:   KATHERINE PAIGE PODLASKI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramPA

General Provider Information

NPI Number : 1952025355
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE PAIGE PODLASKI
Provider Business Mailing Address
First Line : 509 HEDGE ROW CT
Second Line :
City : CRANBERRY TWP
State : PA
Zip : 16066-7715
Country : US
Telephone Number : 724-996-7592
Fax Number :
Provider Business Practice Location Address
First Line : 509 HEDGE ROW CT
Second Line :
City : CRANBERRY TWP
State : PA
Zip : 16066-7715
Country : US
Telephone Number : 724-996-7592
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2022
Last Update Date : 09/29/2022

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Directions to “ KATHERINE PAIGE PODLASKI ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.