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General NPI Number Information
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NPI Number | 1205902343
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Entity Type | Organization
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Legal Business Name | THE GOOD SAMARITAN HOSPITAL OF LEBANON, PENNSYLVANIA
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 252 SOUTH 4TH STREET
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City | LEBANON
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State | PA
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Zip | 17042-6123
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Country | US
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Telephone | 717-270-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 601 MEMORY LN
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City | YORK
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State | PA
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Zip | 17402-2231
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Country | US
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Telephone | 717-851-1405
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Fax | 717-851-6969
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Authorized Official
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Title or Position | VP & PRESIDENT
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Name | TINA CITRO
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Credential |
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Telephone | 717-738-6407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 072401
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License Number State | PA
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