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General NPI Number Information
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NPI Number | 1215871330
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Entity Type | Organization
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Legal Business Name | THE SPRING HAUS, PLLC
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 676 SWEDESFORD RD STE 250
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City | WAYNE
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State | PA
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Zip | 19087
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Country | US
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Telephone | 835-201-4428
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Fax |
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Provider Business Mailing Address
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Address Line | 1721 WILDBERRY RD
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City | BETHLEHEM
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State | PA
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Zip | 18015-5051
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Country | US
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Telephone | 973-896-1056
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Fax |
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Authorized Official
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Title or Position | OWNER/MEDICAL DIRECTOR
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Name | LISA M. JACOB
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Credential | MD
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Telephone | 973-896-1056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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