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General NPI Number Information
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NPI Number | 1083600290
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Entity Type | Organization
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Legal Business Name | LANCASTER GENERAL MEDICAL GROUP
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Dates
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Enumeration Date | 09/22/2005
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Last Update Date | 11/16/2020
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Provider Practice Location Address
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Address Line | 5665 MAIN ST
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City | EAST PETERSBURG
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State | PA
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Zip | 17520-1513
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Country | US
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Telephone | 717-569-7011
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Fax | 717-569-8694
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Provider Business Mailing Address
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Address Line | 5665 MAIN ST
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City | EAST PETERSBURG
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State | PA
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Zip | 17520-1513
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Country | US
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Telephone | 717-569-7011
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Fax | 717-569-8694
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Authorized Official
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Title or Position | VP FINANCIAL SERVICES
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Name | DENISE A KENNEDY
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Credential |
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Telephone | 717-544-5010
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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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