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General NPI Number Information
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NPI Number | 1750152948
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Entity Type | Individual
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Provider Name | MS. LYNNE ROCHELLE HRICIK
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Gender | Female
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Dates
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Enumeration Date | 01/16/2024
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Last Update Date | 01/16/2024
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Provider Practice Location Address
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Address Line | 213 EXECUTIVE DR STE 240
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City | CRANBERRY TWP
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State | PA
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Zip | 16066-6405
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Country | US
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Telephone | 724-772-9797
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Fax | 724-772-3309
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Provider Business Mailing Address
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Address Line | 501 JACKSON BLVD
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City | FREEDOM
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State | PA
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Zip | 15042-2842
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Country | US
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Telephone | 724-774-3050
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | MA00946L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA000946L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 1010116
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License Number State | PA
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