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General NPI Number Information
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NPI Number | 1972620094
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Entity Type | Individual
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Provider Name | JUDITH HAUCK DNP, RN, PMHCNS-BC
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Gender | Female
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 09/26/2011
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Provider Practice Location Address
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Address Line | 3 ENCK CIR
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City | ENOLA
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State | PA
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Zip | 17025-1050
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Country | US
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Telephone | 717-576-9243
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Fax | 866-683-4434
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Provider Business Mailing Address
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Address Line | 3 ENCK CIR
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City | ENOLA
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State | PA
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Zip | 17025-1050
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Country | US
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Telephone | 717-576-9243
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Fax | 866-683-4434
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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 | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | RN195926L
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License Number State | PA
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