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General NPI Number Information
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NPI Number | 1366472318
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Entity Type | Organization
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Legal Business Name | EBENSBURG FAMILY MEDICINE INC
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 09/03/2010
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Provider Practice Location Address
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Address Line | 236 JAMESWAY RD
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City | EBENSBURG
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State | PA
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Zip | 15931-4207
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Country | US
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Telephone | 814-471-6595
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Fax |
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Provider Business Mailing Address
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Address Line | 236 JAMESWAY RD
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City | EBENSBURG
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State | PA
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Zip | 15931-4207
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Country | US
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Telephone | 814-471-6595
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | DAVID F HOLSINGER
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Credential | MD
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Telephone | 814-471-6595
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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 | PA
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