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General NPI Number Information
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NPI Number | 1013092113
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Entity Type | Individual
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Provider Name | TRACY A. HARACH APN
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Gender | Female
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | BEEBE MEDICAL CENTER MARGARET H. ROLLINS CAMPUS 424 SAVANNAH ROAD
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City | LEWES
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State | DE
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Zip | 19958-1675
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Country | US
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Telephone | 302-645-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 1515 SAVANNAH ROAD BEEBE MEDICAL GROUP
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City | LEWES
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State | DE
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Zip | 19958-1169
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Country | US
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Telephone | 302-645-3300
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Fax | 302-644-3560
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | SP007990
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | SP007990
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP007990
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | LM0000148
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License Number State | DE
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