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General NPI Number Information
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NPI Number | 1467621458
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Entity Type | Individual
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Provider Name | PHYLLIS DELLAVECCIA AMRICK CRNP
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Gender | Female
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Dates
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Enumeration Date | 02/25/2008
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 1243 S CEDAR CREST BLVD STE 2800
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City | ALLENTOWN
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State | PA
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Zip | 18103-6230
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Country | US
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Telephone | 610-402-3422
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Fax |
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Provider Business Mailing Address
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Address Line | 627 KATHLEEN DR
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City | NAZARETH
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State | PA
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Zip | 18064-8201
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Country | US
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Telephone | 610-759-1496
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Fax | 610-746-7425
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | TP006502C
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | TP006502C
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License Number State | PA
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