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General NPI Number Information
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NPI Number | 1063436483
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Entity Type | Organization
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Legal Business Name | EVANGELICAL COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1 HOSPITAL DR
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City | LEWISBURG
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State | PA
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Zip | 17837-9314
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Country | US
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Telephone | 570-522-4104
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Fax | 570-522-2083
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Provider Business Mailing Address
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Address Line | 1 HOSPITAL DR
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City | LEWISBURG
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State | PA
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Zip | 17837-9314
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Country | US
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Telephone | 570-522-4104
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Fax | 570-522-2083
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Authorized Official
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Title or Position | BILLING CLERK
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Name | JODI MUSSER
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Credential |
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Telephone | 570-522-4104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 60401
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License Number State | PA
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