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General NPI Number Information
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NPI Number | 1326044694
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Entity Type | Organization
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Legal Business Name | FULTON COUNTY MEDICAL CENTER
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 09/16/2022
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Provider Practice Location Address
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Address Line | 214 PEACH ORCHARD RD
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City | MC CONNELLSBURG
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State | PA
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Zip | 17233-8559
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Country | US
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Telephone | 717-485-3155
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Fax |
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Provider Business Mailing Address
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Address Line | 214 PEACH ORCHARD RD
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City | MC CONNELLSBURG
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State | PA
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Zip | 17233-8559
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Country | US
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Telephone | 717-485-3155
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPEC
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Name | KIMBERLY MEYERS
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Credential |
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Telephone | 717-485-3155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 061901
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 061901
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 061901
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License Number State | PA
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