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General NPI Number Information
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NPI Number | 1972078285
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Entity Type | Individual
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Provider Name | TRACY L PAOLETTA CRNP
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Gender | Female
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Dates
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Enumeration Date | 10/12/2018
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 62 STRAWBRIDGE AVE
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City | SHARON
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State | PA
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Zip | 16146-3234
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Country | US
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Telephone | 724-347-2955
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Fax | 724-347-4664
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Provider Business Mailing Address
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Address Line | 1034 GROVE ST
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City | MEADVILLE
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State | PA
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Zip | 16335-2945
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Country | US
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Telephone | 724-981-1777
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Fax | 724-342-2879
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | SP019404
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | SP019404
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License Number State | PA
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