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General NPI Number Information
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NPI Number | 1205622792
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Entity Type | Individual
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Provider Name | MONIQUE DRAYER BSN, RN
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Gender | Female
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Dates
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Enumeration Date | 04/19/2025
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Last Update Date | 04/19/2025
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Provider Practice Location Address
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Address Line | 1150 COCOA AVE
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City | HERSHEY
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State | PA
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Zip | 17033-1712
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Country | US
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Telephone | 717-531-6015
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Fax |
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Provider Business Mailing Address
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Address Line | 6193 SPRING KNOLL DR
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City | HARRISBURG
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State | PA
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Zip | 17111-6863
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Country | US
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Telephone | 717-512-6463
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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 | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | RN601653
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License Number State | PA
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