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General NPI Number Information
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NPI Number | 1043662281
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Entity Type | Organization
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Legal Business Name | IRMC BHS MULTISPECIALTY PHYSICIAN GROUP
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Dates
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Enumeration Date | 07/12/2016
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Last Update Date | 10/04/2025
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Provider Practice Location Address
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Address Line | 1265 WAYNE AVENUE SUITE 206
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City | INDIANA
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State | PA
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Zip | 15701-3578
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Country | US
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Telephone | 724-717-6417
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Fax | 724-717-6418
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Provider Business Mailing Address
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Address Line | 640 KOLTER DR
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City | INDIANA
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State | PA
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Zip | 15701-3570
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Country | US
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Telephone | 724-357-7333
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Fax | 724-357-7279
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Authorized Official
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Title or Position | CONTROLLER FINANCE AND ACCOUNTING
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Name | MS. SANDRA J LUTTNER
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Credential | CFO
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Telephone | 724-357-7227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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