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General NPI Number Information
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NPI Number | 1053702217
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Entity Type | Individual
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Provider Name | HEATHER L SMITH CRNP
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Gender | Female
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Dates
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Enumeration Date | 02/10/2015
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 48 TUNNEL RD STE 101
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City | POTTSVILLE
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State | PA
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Zip | 17901-3875
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Country | US
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Telephone | 570-622-2245
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Fax |
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Provider Business Mailing Address
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Address Line | 30 HOPE DR STE 1200
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City | HERSHEY
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State | PA
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Zip | 17033-2036
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Country | US
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Telephone | 800-243-1455
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Fax | 717-531-0793
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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 | SP014577
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | SP014577
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License Number State | PA
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