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General NPI Number Information
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NPI Number | 1639586308
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Entity Type | Individual
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Provider Name | HEATHER RENEE MOZDY CNM, WHNP
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Gender | Female
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Dates
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Enumeration Date | 07/15/2014
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Last Update Date | 01/11/2024
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Provider Practice Location Address
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Address Line | 2315 MYRTLE ST STE G30
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City | ERIE
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State | PA
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Zip | 16502-4610
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Country | US
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Telephone | 814-452-5504
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Fax | 814-452-5514
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Provider Business Mailing Address
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Address Line | 2315 MYRTLE ST STE G30
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City | ERIE
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State | PA
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Zip | 16502-4610
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Country | US
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Telephone | 814-452-5504
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Fax | 814-452-5514
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | MW010349
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | SP018803
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | APRN11018680
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 001864
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | SP018803
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License Number State | PA
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