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General NPI Number Information
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NPI Number | 1205097573
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Entity Type | Organization
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Legal Business Name | PHILIPSBURG REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 06/19/2008
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 601 N FRONT ST
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City | PHILIPSBURG
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State | PA
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Zip | 16866-2303
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Country | US
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Telephone | 814-342-7399
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Fax | 814-342-5470
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Provider Business Mailing Address
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Address Line | 601 N FRONT ST
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City | PHILIPSBURG
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State | PA
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Zip | 16866-2303
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Country | US
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Telephone | 814-342-7399
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Fax | 814-342-5470
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Authorized Official
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Title or Position | CEO
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Name | MR. THOMAS D ROBINSON
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Credential |
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Telephone | 814-342-7399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State | PA
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