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General NPI Number Information
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NPI Number | 1386431278
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Entity Type | Organization
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Legal Business Name | LANCASTER GENERAL MEDICAL GROUP
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 450B CANDLEWYCK ROAD
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City | LANCASTER
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State | PA
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Zip | 17601-2878
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Country | US
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Telephone | 717-544-8095
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Fax | 717-544-8096
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Provider Business Mailing Address
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Address Line | 26 N CEDAR STREET 2ND FLOOR #2084
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City | LITITZ
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State | PA
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Zip | 17543-1514
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Country | US
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Telephone | 717-544-7279
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Fax | 717-544-4296
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Authorized Official
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Title or Position | VICE PRESIDENT OPERATIONAL FIN
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Name | DENISE KENNEDY
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Credential |
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Telephone | 717-544-5010
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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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