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General NPI Number Information
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NPI Number | 1043428956
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Entity Type | Individual
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Provider Name | LORETTA HARVEY PA-C, RD
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 500 UNIVERSITY DR
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City | HERSHEY
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State | PA
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Zip | 17033-2360
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Country | US
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Telephone | 717-531-4950
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Fax | 717-531-6770
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Provider Business Mailing Address
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Address Line | 26 MAYBERRY LN
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City | MECHANICSBURG
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State | PA
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Zip | 17050-2762
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Country | US
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Telephone | 410-371-0887
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DN005131
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | OA003974
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA058395
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License Number State | PA
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