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General NPI Number Information
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NPI Number | 1104872936
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Entity Type | Organization
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Legal Business Name | WINDBER HOSPITAL, INC.
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 06/10/2015
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Provider Practice Location Address
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Address Line | 1511 SCALP AVE
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City | JOHNSTOWN
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State | PA
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Zip | 15904-3315
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Country | US
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Telephone | 814-254-4207
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Fax | 814-254-4733
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Provider Business Mailing Address
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Address Line | 1511 SCALP AVE
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City | JOHNSTOWN
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State | PA
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Zip | 15904-3315
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Country | US
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Telephone | 814-254-4207
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Fax | 814-254-4733
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | TOM KURTZ
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Credential |
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Telephone | 814-467-3702
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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 | MD060939L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD434855
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License Number State | PA
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