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General NPI Number Information
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NPI Number | 1235193913
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Entity Type | Organization
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Legal Business Name | GENERAL SURGICAL ASSOCIATES, LTD.
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 07/17/2009
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Provider Practice Location Address
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Address Line | 1240 S. CEDAR CREST BLVD. SUITE 208
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City | ALLENTOWN
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State | PA
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Zip | 18103-6218
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Country | US
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Telephone | 610-439-4055
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Fax | 610-439-8650
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Provider Business Mailing Address
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Address Line | 1240 S. CEDAR CREST BLVD. SUITE 208
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City | ALLENTOWN
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State | PA
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Zip | 18103-6218
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Country | US
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Telephone | 610-439-4055
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Fax | 610-439-8650
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD C. BOORSE
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Credential | MD
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Telephone | 610-439-4055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD022427E
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License Number State | PA
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