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General NPI Number Information
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NPI Number | 1417649021
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Entity Type | Organization
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Legal Business Name | ST LUKE'S HOSPITAL
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Dates
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Enumeration Date | 05/23/2023
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 2701 SHILLINGTON RD STE 100
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City | READING
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State | PA
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Zip | 19608-1732
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Country | US
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Telephone | 484-526-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 801 OSTRUM ST
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City | BETHLEHEM
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State | PA
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Zip | 18015-1000
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Country | US
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Telephone | 484-526-2894
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Fax |
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Authorized Official
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Title or Position | SVP FINANCE
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Name | SCOTT WOLFE
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Credential |
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Telephone | 484-526-3569
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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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Taxonomy #2
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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