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General NPI Number Information
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NPI Number | 1437421088
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE AND GERIATRIC OF LANCASTER COUNTY LLC
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Dates
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Enumeration Date | 01/29/2012
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Last Update Date | 05/03/2012
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Provider Practice Location Address
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Address Line | 1222 CAMERON DR
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City | MANHEIM
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State | PA
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Zip | 17545-8688
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Country | US
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Telephone | 717-940-9121
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Fax | 717-898-6020
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Provider Business Mailing Address
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Address Line | 1222 CAMERON DR
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City | MANHEIM
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State | PA
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Zip | 17545-8688
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Country | US
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Telephone | 717-940-9121
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Fax | 717-898-6020
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. SAWSAN ZAMMAM
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Credential | M.D.
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Telephone | 717-940-9121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | MD420902
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License Number State | PA
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