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General NPI Number Information
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NPI Number | 1821368028
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Entity Type | Individual
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Provider Name | COURTNEY ANN NACE NP
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Gender | Female
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Dates
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Enumeration Date | 01/04/2012
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 3477 CORPORATE PKWY STE 100
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City | CENTER VALLEY
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State | PA
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Zip | 18034-8237
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Country | US
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Telephone | 484-626-0480
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Fax | 484-896-9002
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Provider Business Mailing Address
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Address Line | 1 E BROAD ST STE 130
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City | BETHLEHEM
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State | PA
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Zip | 18018-5934
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Country | US
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Telephone | 484-626-0480
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Fax | 484-896-9002
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP011686
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License Number State | PA
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