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General NPI Number Information
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NPI Number | 1861659864
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Entity Type | Individual
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Provider Name | BETH ANN RUDGE CRNP
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Gender | Female
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 11 SPRINT DR STE C
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City | CARLISLE
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State | PA
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Zip | 17015-7789
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Country | US
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Telephone | 717-545-5000
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Fax | 717-545-5002
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Provider Business Mailing Address
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Address Line | 11 SPRINT DR STE C
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City | CARLISLE
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State | PA
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Zip | 17015-7789
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Country | US
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Telephone | 717-960-3360
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Fax | 717-545-5002
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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 | 364SW0102X
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Taxonomy Name | Women's Health Clinical Nurse Specialist
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License Number | SP009822
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | SP009822
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License Number State | PA
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