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General NPI Number Information
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NPI Number | 1023006079
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Entity Type | Organization
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Legal Business Name | THE ENDOSCOPY CENTER LLC
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Dates
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Enumeration Date | 10/12/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 817 LAWN AVE
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City | SELLERSVILLE
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State | PA
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Zip | 18960-1549
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Country | US
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Telephone | 215-453-3050
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Fax | 215-453-3055
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Provider Business Mailing Address
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Address Line | 817 LAWN AVE
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City | SELLERSVILLE
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State | PA
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Zip | 18960-1549
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Country | US
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Telephone | 215-453-3050
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Fax | 215-453-3055
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Authorized Official
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Title or Position | DIRECTOR/CEO
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Name | MR. CHRISTOPHER ROBERT PHIFER
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Credential | RN
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Telephone | 215-453-3050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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