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General NPI Number Information
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NPI Number | 1609801976
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Entity Type | Organization
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Legal Business Name | UPMC WILLIAMSPORT
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 700 HIGH ST
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City | WILLIAMSPORT
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State | PA
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Zip | 17701-3198
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Country | US
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Telephone | 570-321-1000
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Fax | 570-326-8601
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Provider Business Mailing Address
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Address Line | 600 GRANT ST, US STEEL TOWER, 59TH FLOOR C/O RENEE JOHNSON
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City | PITTSBURGH
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State | PA
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Zip | 15219-2740
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Country | US
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Telephone | 412-623-6303
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Fax | 412-623-6369
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Authorized Official
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Title or Position | CFO
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Name | MR. ROGER 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 | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 234601
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number | 234601
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 234601
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 234601
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 234601
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License Number State | PA
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