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General NPI Number Information
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NPI Number | 1346262466
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Entity Type | Organization
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Legal Business Name | SEVEN MOUNTAINS MEDICAL CENTER PC
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 16 W MARKET ST
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City | LEWISTOWN
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State | PA
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Zip | 17044-2178
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Country | US
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Telephone | 717-242-1391
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Fax | 717-242-1747
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Provider Business Mailing Address
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Address Line | 16 W MARKET ST
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City | LEWISTOWN
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State | PA
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Zip | 17044-2178
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Country | US
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Telephone | 717-242-1391
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Fax | 717-242-1747
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Authorized Official
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Title or Position | OWNER
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Name | DR. SEAN BURKE
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Credential | DO
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Telephone | 717-242-1391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | OS009989L
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License Number State | PA
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