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General NPI Number Information
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NPI Number | 1487938320
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Entity Type | Individual
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Provider Name | COURTNEY HILLYER OPALACZ PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/10/2011
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 2350 FREEDOM WAY SUITE 200
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City | YORK
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State | PA
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Zip | 17402-8200
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Country | US
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Telephone | 717-812-5120
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Fax | 717-741-3075
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Provider Business Mailing Address
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Address Line | 808 N WASHINGTON ST
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City | SHELBY
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State | NC
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Zip | 28150-3858
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Country | US
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Telephone | 980-487-1400
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA055130
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License Number State | PA
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