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General NPI Number Information
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NPI Number | 1326096744
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Entity Type | Organization
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Legal Business Name | EVANGELICAL COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 1 HOSPITAL DR
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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 | 570-522-2938
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Fax | 570-522-2083
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Provider Business Mailing Address
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Address Line | 1 HOSPITAL DR
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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 | 570-522-2938
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Fax | 570-522-2083
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT/PRESIDENT
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Name | KENDRA A. AUCKER
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Credential |
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Telephone | 570-522-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | 570201
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License Number State | PA
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