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General NPI Number Information
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NPI Number | 1114069028
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Entity Type | Organization
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Legal Business Name | HANOVER HOSPITAL INC.
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 300 HIGHLAND AVE
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City | HANOVER
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State | PA
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Zip | 17331-2297
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Country | US
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Telephone | 717-633-2144
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Fax | 717-633-2221
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Provider Business Mailing Address
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Address Line | 300 HIGHLAND AVE
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City | HANOVER
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State | PA
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Zip | 17331-2297
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Country | US
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Telephone | 717-633-2144
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Fax | 717-633-2221
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Authorized Official
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Title or Position | CLINICAL SERVICES REPRESENTATIVE
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Name | SHARON L. SWABY
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Credential |
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Telephone | 717-633-2144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | 081801
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License Number State | PA
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