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1679889471
TARA S BANEY
STATE COLLEGE, PA
NPI
1679889471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: PA SP010958)
Enumeration Date
2010-08-31
Last Update Date
2019-07-05
Business Address
TARA S BANEY CRNP
32 COLONNADE WAY
STATE COLLEGE, PA 16803
Phone number: 814-272-4445
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Mailing Address
TARA S BANEY CRNP
PO BOX 858 MC A410
HERSHEY, PA 17033-0858
Phone number: 800-243-1455
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