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General NPI Number Information
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NPI Number | 1053364059
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Entity Type | Organization
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Legal Business Name | NASON PHYSICIAN SERVICES INC
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 12/15/2014
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Provider Practice Location Address
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Address Line | 104 HILLCREST DR
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City | ROARING SPRING
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State | PA
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Zip | 16673-1210
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Country | US
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Telephone | 814-224-5455
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Fax | 814-224-5004
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Provider Business Mailing Address
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Address Line | 105 NASON DR
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City | ROARING SPRING
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State | PA
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Zip | 16673-1202
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Country | US
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Telephone | 814-224-6201
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Fax | 814-224-6247
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Authorized Official
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Title or Position | CFO
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Name | MR. RAYMOND C ASKEY
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Credential |
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Telephone | 814-224-6201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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