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General NPI Number Information
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NPI Number | 1225004542
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Entity Type | Individual
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Provider Name | GERARD J. CUSH M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 210 JPM RD STE 300
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City | LEWISBURG
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State | PA
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Zip | 17837-9367
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Country | US
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Telephone | 570-524-4446
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Fax | 570-768-4623
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Provider Business Mailing Address
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Address Line | 1 HOSPITAL DR STE 306
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City | LEWISBURG
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State | PA
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Zip | 17837-9350
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Country | US
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Telephone | 570-522-4110
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Fax | 570-768-3911
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD072364L
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License Number State | PA
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