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General NPI Number Information
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NPI Number | 1598149361
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Entity Type | Organization
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Legal Business Name | ST. LUKE'S UNIVERSITY HEALTH NETWORK
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Dates
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Enumeration Date | 07/11/2015
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Last Update Date | 07/11/2015
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Provider Practice Location 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 | 484-526-4670
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Fax |
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Provider Business Mailing Address
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Address Line | 6112 MAIN ST UNIT 1/A
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City | CENTER VALLEY
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State | PA
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Zip | 18034-8479
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Country | US
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Telephone | 215-380-5592
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Fax |
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Authorized Official
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Title or Position | RESIDENCY PROGRAM COORDINATOR
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Name | CONNIE MERRICK
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Credential |
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Telephone | 484-526-4670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NW0100X
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Taxonomy Name | Women's Hospital
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License Number | MT208811
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License Number State | PA
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