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General NPI Number Information
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NPI Number | 1548761935
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Entity Type | Organization
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Legal Business Name | THE CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC.
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Dates
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Enumeration Date | 02/22/2018
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Last Update Date | 11/04/2018
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Provider Practice Location Address
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Address Line | 411 S SHENANDOAH RD
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City | RINGTOWN
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State | PA
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Zip | 17967-9432
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Country | US
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Telephone | 570-645-1951
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Fax | 570-645-1952
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Provider Business Mailing Address
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Address Line | 411 S SHENANDOAH RD
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City | RINGTOWN
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State | PA
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Zip | 17967-9432
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Country | US
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Telephone | 570-645-1951
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Fax | 570-645-1952
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Authorized Official
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Title or Position | SR. VICE PRESIDENT
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Name | THOMAS LICHTENWALNER
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Credential |
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Telephone | 484-526-3301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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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 |
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License Number State |
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