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General NPI Number Information
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NPI Number | 1588600902
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Entity Type | Organization
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Legal Business Name | UPMC MUNCY
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 215 E WATER ST
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City | MUNCY
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State | PA
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Zip | 17756-8828
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Country | US
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Telephone | 570-546-8282
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Fax | 570-326-8601
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Provider Business Mailing Address
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Address Line | 1205 GRAMPIAN BLVD 2ND FLOOR
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City | WILLIAMSPORT
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State | PA
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Zip | 17701-1978
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Country | US
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Telephone | 570-326-8676
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Fax | 570-326-8601
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Authorized Official
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Title or Position | INTERIM CFO
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Name | MR. ROGER C YOST
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Credential |
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Telephone | 570-321-3175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 134301
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License Number State | PA
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