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General NPI Number Information
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NPI Number | 1457801771
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Entity Type | Organization
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Legal Business Name | POCONO MEDICAL CENTER
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Dates
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Enumeration Date | 10/11/2016
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Last Update Date | 10/11/2016
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Provider Practice Location Address
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Address Line | 206 E BROWN ST
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City | EAST STROUDSBURG
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State | PA
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Zip | 18301-3006
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Country | US
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Telephone | 570-421-4000
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Fax | 570-420-4948
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Provider Business Mailing Address
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Address Line | 206 E BROWN ST
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City | EAST STROUDSBURG
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State | PA
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Zip | 18301-3006
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Country | US
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Telephone | 570-421-4000
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Fax | 570-420-4948
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Authorized Official
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Title or Position | CEO
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Name | MR. JEFFREY SNYDER
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Credential |
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Telephone | 570-426-2310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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