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NPI 1174790067

NPI 1174790067 : UPPER MACUNGIE MEDICAL CENTER : ALLENTOWN, PA

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General NPI Number Information
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    NPI Number           |    1174790067
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    Entity Type          |    Organization 
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    Legal Business Name  |    UPPER MACUNGIE MEDICAL CENTER 
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Dates
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    Enumeration Date     |    05/11/2008
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    Last Update Date     |    05/11/2008
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Provider Practice Location Address
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    Address Line         |    227 S ROUTE 100 
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    City                 |    ALLENTOWN
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    State                |    PA
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    Zip                  |    18106-9212
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    Country              |    US
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    Telephone            |    610-366-1000
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    Fax                  |    610-366-1050
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Provider Business Mailing Address
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    Address Line         |    227 S ROUTE 100 
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    City                 |    ALLENTOWN
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    State                |    PA
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    Zip                  |    18106-9212
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    Country              |    US
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    Telephone            |    610-366-1000
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    Fax                  |    610-366-1050
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. GREGORY MITCHELL SINGER 
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    Credential           |    MD
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    Telephone            |    610-366-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    MD064098L
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    License Number State |    PA
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