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NPI 1043456957

NPI 1043456957 : CH HOSPITAL OF ALLENTOWN, LLC : ALLENTOWN, PA

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General NPI Number Information
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    NPI Number           |    1043456957
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    Entity Type          |    Organization 
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    Legal Business Name  |    CH HOSPITAL OF ALLENTOWN, LLC 
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Dates
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    Enumeration Date     |    12/23/2008
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    Last Update Date     |    01/23/2020
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Provider Practice Location Address
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    Address Line         |    1503 N CEDAR CREST BLVD 
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    City                 |    ALLENTOWN
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    State                |    PA
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    Zip                  |    18104-2310
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    Country              |    US
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    Telephone            |    610-861-8080
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    Fax                  |    610-849-1013
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Provider Business Mailing Address
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    Address Line         |    1503 N CEDAR CREST BLVD 
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    City                 |    ALLENTOWN
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    State                |    PA
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    Zip                  |    18104-2310
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    Country              |    US
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    Telephone            |    610-861-8080
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    Fax                  |    610-849-1013
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Authorized Official
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    Title or Position    |    PRESIDENT & COO
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    Name                 |     AMY  NYBERG 
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    Credential           |    
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    Telephone            |    610-861-8080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    207KA0200X
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    Taxonomy Name        |    Allergy Physician
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    License Number       |    
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    License Number State |    PA
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Taxonomy #3
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    
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    License Number State |    PA
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Taxonomy #4
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    Taxonomy Code        |    207RR0500X
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    Taxonomy Name        |    Rheumatology Physician
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    License Number       |    
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    License Number State |    PA
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Taxonomy #5
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    PA
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Taxonomy #6
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    Taxonomy Code        |    207XS0106X
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    Taxonomy Name        |    Orthopaedic Hand Surgery Physician
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    License Number       |    
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    License Number State |    PA
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Taxonomy #7
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    Taxonomy Code        |    207XS0117X
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    Taxonomy Name        |    Orthopaedic Surgery of the Spine Physician
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    License Number       |    
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    License Number State |    PA
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Taxonomy #8
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    Taxonomy Code        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    
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    License Number State |    PA
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Taxonomy #9
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    Taxonomy Code        |    208200000X
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    Taxonomy Name        |    Plastic Surgery Physician
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    License Number       |    
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    License Number State |    PA
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Taxonomy #10
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    Taxonomy Code        |    2082S0105X
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    Taxonomy Name        |    Surgery of the Hand (Plastic Surgery) Physician
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    License Number       |    
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    License Number State |    PA
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Taxonomy #11
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    
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    License Number State |    PA
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Taxonomy #12
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    
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    License Number State |    PA
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Taxonomy #13
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    PA
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Taxonomy #14
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    PA
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Taxonomy #15
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    Taxonomy Code        |    284300000X
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    Taxonomy Name        |    Special Hospital
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    License Number       |    
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    License Number State |    
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