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General NPI Number Information
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NPI Number | 1346752284
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Entity Type | Organization
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Legal Business Name | NASON PHYSICIAN PRACTICES LLC
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Dates
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Enumeration Date | 11/01/2017
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Last Update Date | 10/19/2024
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Provider Practice Location Address
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Address Line | 105 NASON DR
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City | ROARING SPRING
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State | PA
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Zip | 16673-1202
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Country | US
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Telephone | 814-224-3322
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Fax |
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Provider Business Mailing Address
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Address Line | 105 NASON DR
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City | ROARING SPRING
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State | PA
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Zip | 16673-1202
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | CHARLOTTE LAWRENCE
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Credential |
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Telephone | 615-920-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine 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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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