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General NPI Number Information
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NPI Number | 1043821325
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Entity Type | Organization
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Legal Business Name | LAWRENCE COUNTY MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 08/11/2020
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Last Update Date | 08/11/2020
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Provider Practice Location Address
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Address Line | 2520 WILMINGTON RD
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City | NEW CASTLE
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State | PA
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Zip | 16105-1644
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Country | US
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Telephone | 724-658-7550
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Fax | 724-658-7551
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Provider Business Mailing Address
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Address Line | 2520 WILMINGTON RD
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City | NEW CASTLE
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State | PA
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Zip | 16105-1644
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Country | US
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Telephone | 724-658-7550
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Fax | 724-658-7551
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID ROBERT SHOBER
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Credential | D.O.
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Telephone | 724-658-7550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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