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General NPI Number Information
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NPI Number | 1437451093
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Entity Type | Individual
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Provider Name | JAMES ISAAC HETHERINGTON ND, RN
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Gender | Male
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Dates
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Enumeration Date | 12/02/2010
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 620 OREGON AVE
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City | ERIE
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State | PA
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Zip | 16505-3817
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Country | US
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Telephone | 206-290-2176
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Fax |
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Provider Business Mailing Address
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Address Line | 620 OREGON AVE
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City | ERIE
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State | PA
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Zip | 16505-3817
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Country | US
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Telephone | 206-290-2176
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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 | RN00161756
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN532138
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT60183537
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License Number State | WA
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