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General NPI Number Information
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NPI Number | 1083054423
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Entity Type | Individual
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Provider Name | ROSEMARY HIETKAMP FNP
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Gender | Female
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Dates
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Enumeration Date | 06/30/2013
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 113 HOLLAND AVE
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City | ALBANY
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State | NY
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Zip | 12208-3410
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Country | US
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Telephone | 910-964-9796
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Fax |
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Provider Business Mailing Address
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Address Line | 38 TAHOE CIR
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City | SANFORD
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State | NC
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Zip | 27332-0123
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Country | US
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Telephone | 910-964-9796
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 184678
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A172297
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License Number State | IA
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