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General NPI Number Information
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NPI Number | 1063700425
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Entity Type | Organization
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Legal Business Name | LANGHORNE PHYSICIAN SERVICES
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Dates
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Enumeration Date | 07/19/2011
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Last Update Date | 07/19/2011
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Provider Practice Location Address
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Address Line | 508 CORPORATE DR W LUXEMBOURG CORPORATE CENTER
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City | LANGHORNE
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State | PA
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Zip | 19047-8011
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Country | US
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Telephone | 215-860-4380
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Fax | 215-968-5918
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Provider Business Mailing Address
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Address Line | 508 CORPORATE DR W LUXEMBOURG CORPORATE CENTER
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City | LANGHORNE
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State | PA
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Zip | 19047-8011
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Country | US
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Telephone | 215-860-4380
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Fax | 215-968-5918
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Authorized Official
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Title or Position | SVP/CFO
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Name | MRS. GAIL KOSYLA
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Credential |
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Telephone | 215-710-6566
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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 | MD007527E
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License Number State | PA
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