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General NPI Number Information
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NPI Number | 1356158703
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Entity Type | Individual
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Provider Name | HALEY JOHNSON RN, DNAP
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Gender | Female
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 100 FAIRFIELD DR
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City | SENECA
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State | PA
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Zip | 16346-2130
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Country | US
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Telephone | 814-676-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 113 OAKDALE DR
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City | ZELIENOPLE
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State | PA
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Zip | 16063-9308
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Country | US
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Telephone | 412-715-4271
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN696343
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN696343
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License Number State | PA
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