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General NPI Number Information
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NPI Number | 1134164676
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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 | 06/18/2006
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 1261 DIVISION HWY STE 1
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City | EPHRATA
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State | PA
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Zip | 17522-8822
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Country | US
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Telephone | 717-738-0660
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Fax | 717-738-0658
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Provider Business Mailing Address
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Address Line | 1261 DIVISION HWY STE 1
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City | EPHRATA
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State | PA
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Zip | 17522-8822
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Country | US
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Telephone | 717-738-0660
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Fax | 717-738-0658
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | GARY WELCH
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Credential |
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Telephone | 717-544-5658
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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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