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General NPI Number Information
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NPI Number | 1568347201
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Entity Type | Organization
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Legal Business Name | ST. LUKE'S WARREN PHYSICIAN GROUP, PC
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 755 MEMORIAL PKWY STE 202A
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-2773
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Country | US
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Telephone | 484-526-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 801 OSTRUM ST
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City | BETHLEHEM
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State | PA
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Zip | 18015-1000
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Country | US
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Telephone | 484-526-4000
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SUE CHIAVAROLI
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Credential |
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Telephone | 484-526-3569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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