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General NPI Number Information
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NPI Number | 1366338881
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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 | 4000 STERRETTANIA RD LOWR LEVEL
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City | ERIE
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State | PA
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Zip | 16506-4125
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Country | US
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Telephone | 814-836-0543
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Fax | 814-838-1145
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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 | 152W00000X
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Taxonomy Name | Optometrist
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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