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General NPI Number Information
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NPI Number | 1366417602
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Entity Type | Organization
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Legal Business Name | THE MILTON S. HERSHEY MEDICAL CENTER PHYSICIANS GROUP
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 1 CONTINENTAL DR
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City | ELIZABETHTOWN
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State | PA
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Zip | 17022-2231
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Country | US
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Telephone | 800-243-1455
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 854 MCA410
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City | HERSHEY
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State | PA
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Zip | 17033-0854
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Country | US
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Telephone | 717-531-5995
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Fax | 717-531-6934
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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