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General NPI Number Information
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NPI Number | 1326198490
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Entity Type | Individual
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Provider Name | DAVID A TESTA D.O.
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Gender | Male
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 5683 ROUTE 115
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City | BLAKESLEE
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State | PA
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Zip | 18610-7973
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Country | US
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Telephone | 570-355-7100
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Fax | 570-420-2579
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Provider Business Mailing Address
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Address Line | 206 E BROWN ST POCONO HEALTH SYSTEM - PROFESSIONAL CENTER
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City | EAST STROUDSBURG
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State | PA
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Zip | 18301-3006
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Country | US
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Telephone | 570-420-4951
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Fax | 570-476-3513
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | OS017701
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License Number State | PA
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