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General NPI Number Information
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NPI Number | 1467866863
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Entity Type | Organization
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Legal Business Name | GEISINGER COMMUNITY HEALTH SERVICES
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Dates
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Enumeration Date | 06/13/2014
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Last Update Date | 06/13/2014
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Provider Practice Location Address
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Address Line | 100 N ACADEMY AVE MC 61-21
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City | DANVILLE
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State | PA
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Zip | 17822-9800
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Country | US
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Telephone | 570-784-1723
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Fax | 570-784-8512
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Provider Business Mailing Address
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Address Line | 100 N ACADEMY AVE MC 61-21
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City | DANVILLE
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State | PA
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Zip | 17822-9800
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Country | US
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Telephone | 570-784-1723
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Fax | 570-784-8512
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Authorized Official
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Title or Position | ADMINISTRATOR OF CLINICAL SERVICES
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Name | LOREEN COMSTOCK
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Credential | MSN, RN
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Telephone | 570-784-1723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State | PA
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