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General NPI Number Information
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NPI Number | 1245934686
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC ASSOC OF LANCASTER LTD
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Dates
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Enumeration Date | 03/29/2023
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Last Update Date | 03/29/2023
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Provider Practice Location Address
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Address Line | 194 N READING RD
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City | EPHRATA
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State | PA
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Zip | 17522-1648
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Country | US
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Telephone | 717-299-4871
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Fax | 717-517-5173
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Provider Business Mailing Address
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Address Line | 194 N READING RD
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City | EPHRATA
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State | PA
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Zip | 17522-1648
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Country | US
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Telephone | 717-299-4871
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Fax | 717-517-5173
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | NATALIE WILDE
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Credential |
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Telephone | 717-299-4871
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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 |
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License Number State |
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