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General NPI Number Information
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NPI Number | 1366657116
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Entity Type | Organization
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Legal Business Name | BERWICK HOSPITAL CORPORATION
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 04/08/2020
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Provider Practice Location Address
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Address Line | 701 E 16TH ST
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City | BERWICK
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State | PA
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Zip | 18603-2316
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Country | US
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Telephone | 570-759-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 701 E 16TH ST
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City | BERWICK
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State | PA
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Zip | 18603-2316
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Country | US
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Telephone | 570-759-5000
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/DELEGATED OFFICIAL
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Name | PAULA LALOR
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Credential |
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Telephone | 615-925-4565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 024901
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 024901
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License Number State | PA
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