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General NPI Number Information
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NPI Number | 1356360309
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Entity Type | Organization
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Legal Business Name | COMMUNITY FAMILY HEALTH CARE PC
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 01/12/2010
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Provider Practice Location Address
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Address Line | 405 CUMBERLAND ST
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City | LEBANON
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State | PA
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Zip | 17042-5371
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Country | US
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Telephone | 717-272-7321
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 779
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City | LEBANON
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State | PA
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Zip | 17042-0779
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Country | US
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Telephone | 717-272-5395
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Fax |
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Authorized Official
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Title or Position | BILLING COORDINATOR
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Name | KAREN MANN
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Credential |
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Telephone | 717-272-5395
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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 |
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License Number State |
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