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General NPI Number Information
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NPI Number | 1407097405
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Entity Type | Organization
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Legal Business Name | GETTYSBURG OSTEOPATHIC FAMILY HEALTH CENTER PC
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Dates
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Enumeration Date | 03/20/2009
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Last Update Date | 06/01/2009
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Provider Practice Location Address
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Address Line | 2311 FAIRFIELD RD SUITE E
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City | GETTYSBURG
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State | PA
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Zip | 17325-6309
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Country | US
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Telephone | 717-818-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 400 OAK HILL RD
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City | BIGLERVILLE
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State | PA
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Zip | 17307-9785
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Country | US
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Telephone | 717-818-4100
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT L MAUSS
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Credential | DO
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Telephone | 717-818-4100
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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 | OS013224
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License Number State | PA
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