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General NPI Number Information
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NPI Number | 1598803736
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Entity Type | Organization
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Legal Business Name | FAMILY MEDICAL CARE OF LAWRENCE COUNTY, INC
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 1995 MERCER NEW WILMINGTON RD
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City | NEW WILMINGTON
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State | PA
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Zip | 16142-2021
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Country | US
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Telephone | 724-946-3564
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Fax | 724-946-2156
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Provider Business Mailing Address
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Address Line | 1995 MERCER NEW WILMINGTON RD
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City | NEW WILMINGTON
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State | PA
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Zip | 16142-2021
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Country | US
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Telephone | 724-946-3564
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Fax | 724-946-2156
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Authorized Official
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Title or Position | QUALITY SUPERVISOR
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Name | CANDACE WINTERS
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Credential |
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Telephone | 724-946-3564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | PA
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