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General NPI Number Information
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NPI Number | 1659215259
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Entity Type | Individual
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Provider Name | NICOL R CHRIST CRNP
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Gender | Female
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/22/2026
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Provider Practice Location Address
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Address Line | 200 SCHUYLKILL MEDICAL PLZ
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City | POTTSVILLE
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State | PA
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Zip | 17901-3660
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Country | US
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Telephone | 570-621-9200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1806
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City | ALLENTOWN
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State | PA
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Zip | 18105-1806
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP034136
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License Number State | PA
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