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General NPI Number Information
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NPI Number | 1669372439
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Entity Type | Individual
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Provider Name | HEATHER LAROCCO RN, BSN, CMGT-BC
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Gender | Female
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Dates
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Enumeration Date | 11/06/2026
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Last Update Date | 11/06/2026
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Provider Practice Location Address
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Address Line | 3425 SIMPSON FERRY RD STE 100
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City | CAMP HILL
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State | PA
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Zip | 17011-6405
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Country | US
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Telephone | 717-256-2425
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Fax |
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Provider Business Mailing Address
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Address Line | 800 ROBERTS AVE
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City | DREXEL HILL
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State | PA
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Zip | 19026-4420
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Country | US
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Telephone | 267-265-0143
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN594794
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License Number State | PA
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