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General NPI Number Information
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NPI Number | 1619836061
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Entity Type | Individual
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Provider Name | KIMBERLY ROZYCKI CRNP
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Gender | Female
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 3400 SPRUCE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4238
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Country | US
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Telephone | 215-662-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 52 EMBER LN
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City | HORSHAM
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State | PA
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Zip | 19044-1951
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Country | US
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Telephone | 215-806-9230
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | SP034934
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License Number State | PA
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