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General NPI Number Information
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NPI Number | 1275492720
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Entity Type | Organization
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Legal Business Name | KEYSTONE ORAL SURGERY ASSOCIATES PC
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 1061 LINCOLN WAY E
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-2819
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Country | US
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Telephone | 717-983-0627
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Fax | 717-983-2221
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Provider Business Mailing Address
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Address Line | 30 BALDWIN BLVD STE 95
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City | SHAMOKIN DAM
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State | PA
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Zip | 17876-9520
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Country | US
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Telephone | 610-570-8321
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Fax | 570-256-1772
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Authorized Official
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Title or Position | CREDENTIALING
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Name | KAREN L FITZCHARLES
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Credential |
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Telephone | 570-884-8321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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