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General NPI Number Information
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NPI Number | 1437770989
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Entity Type | Individual
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Provider Name | RUKISHA HODGE PMHNP
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Gender | Female
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Dates
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Enumeration Date | 05/06/2020
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 7 NESHAMINY INTERPLEX DR
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City | FEASTERVILLE TREVOSE
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State | PA
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Zip | 19053-6927
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Country | US
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Telephone | 610-544-2110
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Fax | 610-604-9510
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Provider Business Mailing Address
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Address Line | 7 NESHAMINY INTERPLEX DR
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City | FEASTERVILLE TREVOSE
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State | PA
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Zip | 19053-6927
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Country | US
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Telephone | 610-544-2110
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Fax | 610-604-9510
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP032771
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F403052
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN800957
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 661901
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License Number State | NY
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