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General NPI Number Information
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NPI Number | 1558028555
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Entity Type | Individual
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Provider Name | CORY ALAN SCOT HELLER CRNP
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Gender | Male
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Dates
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Enumeration Date | 11/24/2021
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 32711 LONG NECK RD
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City | MILLSBORO
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State | DE
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Zip | 19966-6678
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Country | US
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Telephone | 302-945-9730
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 495
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City | LEWES
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State | DE
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Zip | 19958-0495
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Country | US
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Telephone | 302-945-9730
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | LG-0012397
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP024926
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License Number State | PA
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