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General NPI Number Information
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NPI Number | 1164932430
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Entity Type | Organization
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Legal Business Name | POTTSTOWN HOSPITAL, LLC
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Dates
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Enumeration Date | 10/02/2017
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Last Update Date | 10/21/2020
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Provider Practice Location Address
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Address Line | 730 S HANOVER ST
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City | POTTSTOWN
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State | PA
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Zip | 19465-7520
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Country | US
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Telephone | 610-323-6835
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Fax | 610-323-4154
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Provider Business Mailing Address
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Address Line | PO BOX 13579
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City | READING
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State | PA
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Zip | 19612-3579
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP & CFO
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Name | GARY CONNER
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Credential |
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Telephone | 484-628-1324
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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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