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General NPI Number Information
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NPI Number | 1326934746
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Entity Type | Organization
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Legal Business Name | MILLCREEK COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 220 E 3RD ST
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City | WATERFORD
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State | PA
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Zip | 16441-9753
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Country | US
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Telephone | 814-796-6791
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Fax | 814-796-6517
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Provider Business Mailing Address
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Address Line | 5515 PEACH ST
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City | ERIE
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State | PA
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Zip | 16509-2603
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Country | US
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Telephone | 814-864-4031
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Fax | 814-868-7778
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | JEAN NEJMAN
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Credential |
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Telephone | 814-868-2507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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