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General NPI Number Information
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NPI Number | 1841694726
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Entity Type | Individual
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Provider Name | HEATHER ANNETTE ROSARIO PA-C, MHSC
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Gender | Female
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Dates
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Enumeration Date | 10/21/2014
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Last Update Date | 12/07/2020
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Provider Practice Location Address
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Address Line | 100 WALTER WARD BLVD
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City | ABINGDON
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State | MD
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Zip | 21009
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Country | US
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Telephone | 443-643-4700
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Fax | 443-643-4707
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Provider Business Mailing Address
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Address Line | 1170 HOLLYWOOD TERRACE
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City | YORK
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State | PA
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Zip | 17403
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Country | US
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Telephone | 717-395-3341
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Fax | 443-643-4707
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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