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General NPI Number Information
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NPI Number | 1528178522
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Entity Type | Individual
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Provider Name | JOSEPH G. DEGENHARD MD
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 12/12/2018
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Provider Practice Location Address
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Address Line | 808 PLEASANTVIEW DR
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City | EPHRATA
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State | PA
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Zip | 17522-1644
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Country | US
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Telephone | 717-733-9090
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Fax | 717-733-8982
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Provider Business Mailing Address
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Address Line | 3421 CONCORD RD
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City | YORK
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State | PA
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Zip | 17402-9001
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Country | US
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Telephone | 717-733-9090
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Fax | 717-733-8982
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | PAK000208
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD417766
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License Number State | PA
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