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General NPI Number Information
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NPI Number | 1740175447
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Entity Type | Individual
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Provider Name | ELIZABETH EDGELL CRNP
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Gender | Female
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 4230 CRUMS MILL RD
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City | HARRISBURG
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State | PA
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Zip | 17112-2898
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Country | US
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Telephone | 717-233-6171
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Fax |
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Provider Business Mailing Address
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Address Line | 23 APPLEWOOD CT
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City | LEBANON
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State | PA
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Zip | 17046-8121
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Country | US
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Telephone | 717-514-1653
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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 | SP032942
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License Number State | PA
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