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General NPI Number Information
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NPI Number | 1386543098
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Entity Type | Organization
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Legal Business Name | THE MILTON S. HERSHEY MEDICAL CENTER PHYSICIAN GROUP
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 4301 5TH STREET HIGHWAY SUITE 100
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City | TEMPLE
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State | PA
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Zip | 19560-1739
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Country | US
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Telephone | 610-208-8800
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Fax | 610-898-1336
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Provider Business Mailing Address
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Address Line | 500 UNIVERSITY DRIVE MC CA410
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City | HERSHEY
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State | PA
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Zip | 17033-2360
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Country | US
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Telephone | 717-531-5814
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Fax | 717-531-5297
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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 | 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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