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General NPI Number Information
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NPI Number | 1134054448
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Entity Type | Organization
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Legal Business Name | MILLCREEK COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 06/17/2026
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Last Update Date | 06/17/2026
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Provider Practice Location Address
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Address Line | 2010 W 38TH ST UPPR LEVEL
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City | ERIE
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State | PA
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Zip | 16508-2004
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Country | US
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Telephone | 814-866-6835
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Fax | 814-866-6837
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Provider Business Mailing Address
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Address Line | 5515 PEACH ST
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City | ERIE
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State | PA
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Zip | 16509-2603
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Country | US
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Telephone | 814-864-4031
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Fax | 814-868-7778
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | JEAN NEJMAN
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Credential |
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Telephone | 814-868-2507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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