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General NPI Number Information
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NPI Number | 1417805136
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Entity Type | Individual
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Provider Name | MIRANDA JO HRUBOCHAK RN
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Gender | Female
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 835 HOPSPITAL ROAD
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City | INDIANA
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State | PA
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Zip | 15701
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Country | US
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Telephone | 724-357-7121
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Fax |
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Provider Business Mailing Address
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Address Line | 2812 ROUTE 553 HWY
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City | PENN RUN
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State | PA
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Zip | 15765-8511
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Country | US
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Telephone | 814-341-7952
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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 | RN738912
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License Number State | PA
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