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General NPI Number Information
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NPI Number | 1215563937
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Entity Type | Individual
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Provider Name | KRISTIN HECKER CRNP
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Gender | Female
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Dates
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Enumeration Date | 03/13/2020
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 800 WALNUT ST 20TH FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5176
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Country | US
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Telephone | 215-829-8455
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Fax | 215-829-5350
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Provider Business Mailing Address
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Address Line | 3400 CIVIC CENTER BOULEVARD PERELMAN CENTER FOR ADVANCED MEDICINE 3 WEST
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City | PHILADELPHIA
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State | PA
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Zip | 19104-2689
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Country | US
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Telephone | 215-829-8455
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Fax | 215-829-5350
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | SP021074
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License Number State | PA
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