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General NPI Number Information
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NPI Number | 1295634517
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Entity Type | Individual
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Provider Name | NICOLE MARIE HOUSEAL-HART CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 2808 OLD POST RD STE 104
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City | HARRISBURG
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State | PA
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Zip | 17110-3685
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Country | US
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Telephone | 717-545-4786
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Fax |
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Provider Business Mailing Address
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Address Line | 914 LORING LN
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City | MECHANICSBURG
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State | PA
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Zip | 17055-4000
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Country | US
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Telephone | 717-433-2615
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 729685
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License Number State | PA
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