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General NPI Number Information
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NPI Number | 1083509525
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Entity Type | Individual
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Provider Name | MANDY MARIE PERCINSKY CRNP
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Gender | Female
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 323 BUDFIELD ST
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City | JOHNSTOWN
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State | PA
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Zip | 15904-3213
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Country | US
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Telephone | 814-262-9500
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Fax | 814-262-9142
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Provider Business Mailing Address
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Address Line | 306 SAIPAN AVE
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City | JOHNSTOWN
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State | PA
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Zip | 15902-1066
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Country | US
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Telephone | 814-244-2784
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP033032
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License Number State | PA
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