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General NPI Number Information
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NPI Number | 1134030703
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Entity Type | Individual
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Provider Name | CRYSTAL ZIMMER LPN, PCHA
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Gender | Female
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 6520 STONEGATE DR
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City | ALLENTOWN
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State | PA
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Zip | 18106-9297
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Country | US
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Telephone | 610-794-4214
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Fax | 610-794-5415
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Provider Business Mailing Address
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Address Line | 809 PRICE RD
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City | HARLEYSVILLE
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State | PA
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Zip | 19438-2122
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Country | US
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Telephone | 267-721-0440
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | PN309411
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License Number State | PA
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