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General NPI Number Information
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NPI Number | 1427015999
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Entity Type | Organization
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Legal Business Name | WEST SHORE SURGERY, LTD
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 07/02/2024
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Provider Practice Location Address
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Address Line | 2015 TECHNOLOGY PKWY
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City | MECHANICSBURG
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State | PA
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Zip | 17050-9497
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Country | US
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Telephone | 717-791-2506
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Fax |
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Provider Business Mailing Address
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Address Line | 2015 TECHNOLOGY PKWY
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City | MECHANICSBURG
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State | PA
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Zip | 17050-9497
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Country | US
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Telephone | 717-791-2506
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | THERESA M PUCHALSKY
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Credential | RN
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Telephone | 717-791-2506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 12371501
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License Number State | PA
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