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General NPI Number Information
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NPI Number | 1023678067
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Entity Type | Individual
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Provider Name | LIZA GERGENTI MD
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Gender | Female
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Dates
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Enumeration Date | 06/20/2019
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 300 HIGHLAND AVE
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City | HANOVER
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State | PA
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Zip | 17331-2297
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Country | US
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Telephone | 717-988-0000
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Fax | 717-782-5716
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Provider Business Mailing Address
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Address Line | 300 HIGHLAND AVE
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City | HANOVER
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State | PA
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Zip | 17331-2297
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Country | US
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Telephone | 717-988-0000
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Fax | 717-782-5716
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MT217858
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD476074
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License Number State | PA
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