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General NPI Number Information
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NPI Number | 1538116637
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Entity Type | Organization
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Legal Business Name | BUCKS COUNTY GI ENDOSCOPIC SURGICAL CENTER LLC
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 08/08/2023
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Provider Practice Location Address
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Address Line | 1339 WOODBOURNE RD
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City | LEVITTOWN
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State | PA
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Zip | 19057-1236
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Country | US
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Telephone | 215-547-3441
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Fax | 215-547-7172
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Provider Business Mailing Address
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Address Line | 1339 WOODBOURNE RD
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City | LEVITTOWN
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State | PA
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Zip | 19057-1236
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Country | US
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Telephone | 215-547-7172
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT C GOLDSTEIN
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Credential | MD
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Telephone | 215-547-3441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0800X
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Taxonomy Name | Endoscopy Clinic/Center
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License Number | 2047
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License Number State | PA
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