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General NPI Number Information
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NPI Number | 1366403370
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Entity Type | Organization
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Legal Business Name | SACRED HEART HEALTHCARE SYSTEM
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 02/25/2009
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Provider Practice Location Address
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Address Line | 5802 CHESTNUT ST
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City | ZIONSVILLE
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State | PA
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Zip | 18092-2105
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Country | US
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Telephone | 610-965-9100
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Fax | 610-967-9609
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Provider Business Mailing Address
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Address Line | 421 W CHEW ST PHYSICIAN ACCOUNTS
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City | ALLENTOWN
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State | PA
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Zip | 18102-3406
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Country | US
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Telephone | 610-776-5100
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Fax | 610-663-3113
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Authorized Official
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Title or Position | VP LEGAL AFFAIRS
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Name | MR. STEPHEN A LANSHE
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Credential |
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Telephone | 610-776-5141
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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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