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General NPI Number Information
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NPI Number | 1245194505
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Entity Type | Organization
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Legal Business Name | KING HEALTH LLC
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 2417 N FRONT ST
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City | HARRISBURG
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State | PA
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Zip | 17110-1110
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Country | US
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Telephone | 717-918-9900
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Fax | 717-918-9998
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Provider Business Mailing Address
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Address Line | 702 E SIMPSON ST UNIT 37
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City | MECHANICSBURG
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State | PA
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Zip | 17055-1601
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Country | US
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Telephone | 717-918-9900
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Fax | 717-918-9998
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Authorized Official
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Title or Position | CEO
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Name | JENNIFER ANN KING-WILSON
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Credential | CRNP, CRNA
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Telephone | 717-918-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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