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General NPI Number Information
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NPI Number | 1215462411
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Entity Type | Individual
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Provider Name | AUREA YADITH CORDERO CRNP
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Gender | Female
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Dates
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Enumeration Date | 04/25/2017
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Last Update Date | 10/25/2025
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Provider Practice Location Address
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Address Line | 3671 CRESCENT CT E
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City | WHITEHALL
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State | PA
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Zip | 18052-3400
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Country | US
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Telephone | 484-664-7300
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Fax | 610-402-2554
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Provider Business Mailing Address
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Address Line | 3134 ROSS RD
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City | SAYLORSBURG
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State | PA
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Zip | 18353-7946
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Country | US
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Telephone | 570-242-0867
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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 | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | RN582342
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP029605
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | SP017441
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License Number State | PA
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