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General NPI Number Information
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NPI Number | 1104037464
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Entity Type | Individual
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Provider Name | LORI JO SLAVICK PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 550 CLEVELAND AVE STE 202
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-3430
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Country | US
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Telephone | 717-724-1414
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Fax | 717-724-1418
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Provider Business Mailing Address
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Address Line | 10956 SASSAN LN
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City | HAGERSTOWN
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State | MD
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Zip | 21742-4069
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Country | US
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Telephone | 248-939-7845
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5601004018
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C04986
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA066517
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License Number State | PA
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