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General NPI Number Information
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NPI Number | 1164191615
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Entity Type | Organization
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Legal Business Name | WELLSPAN CHAMBERSBURG ENDOSCOPY CENTER LLC
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 10/03/2022
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Provider Practice Location Address
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Address Line | 835 5TH AVE
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-4220
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Country | US
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Telephone | 717-217-4312
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Fax | 717-217-4314
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Provider Business Mailing Address
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Address Line | 785 5TH AVE STE 3
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-4232
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Country | US
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Telephone | 717-263-9555
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Fax | 717-709-6549
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Authorized Official
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Title or Position | SR VP & CHIEF FINANCIAL OFFICER
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Name | LAURA BUCZKOWSKI
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Credential |
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Telephone | 410-259-0783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0800X
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Taxonomy Name | Endoscopy Clinic/Center
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License Number |
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License Number State |
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