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General NPI Number Information
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NPI Number | 1356300453
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Entity Type | Organization
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Legal Business Name | THE MILTON S. HERSHEY MEDICAL CENTER
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Dates
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Enumeration Date | 03/20/2006
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 905 W GOVERNOR RD SUITE 250
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City | HERSHEY
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State | PA
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Zip | 17033-2307
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Country | US
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Telephone | 717-531-7235
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Fax | 717-531-0067
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Provider Business Mailing Address
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Address Line | PO BOX 856
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City | HERSHEY
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State | PA
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Zip | 17033-0856
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Country | US
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Telephone | 717-531-1159
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Fax | 717-531-7269
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Authorized Official
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Title or Position | PRESIDENT
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Name | DONALD MCKENNA
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Credential |
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Telephone | 717-531-3979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 931180
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License Number State | PA
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