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General NPI Number Information
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NPI Number | 1134198666
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Entity Type | Organization
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Legal Business Name | FAMILY PHYSICIAN ASSOCIATES, INC.
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Dates
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Enumeration Date | 03/16/2006
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 1900 BRIDGE ST
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City | NEW CUMBERLAND
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State | PA
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Zip | 17070-1127
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Country | US
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Telephone | 717-774-7041
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Fax | 717-774-3213
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Provider Business Mailing Address
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Address Line | 507 TIRE HILL ROAD SUITE 100
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City | JOHNSTOWN
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State | PA
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Zip | 15905
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Country | US
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Telephone | 814-467-4055
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Fax | 814-262-8161
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Authorized Official
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Title or Position | MD
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Name | SCOTT D MUELLER
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Credential | MD
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Telephone | 717-557-6987
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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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