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General NPI Number Information
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NPI Number | 1609887785
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Entity Type | Organization
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Legal Business Name | MEDICAL ASSOCIATES OF THE LEHIGH VALLEY PC
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 09/26/2011
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Provider Practice Location Address
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Address Line | 3131 COLLEGE HEIGHTS BLVD SUITE 2200
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City | ALLENTOWN
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State | PA
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Zip | 18104-4812
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Country | US
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Telephone | 610-433-8615
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Fax | 610-433-2395
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Provider Business Mailing Address
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Address Line | 1605 N CEDAR CREST BLVD SUITE 110B
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City | ALLENTOWN
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State | PA
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Zip | 18104-2351
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Country | US
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Telephone | 610-973-1410
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Fax | 610-973-1449
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. ROBERT E STOVER
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Credential |
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Telephone | 610-973-1400
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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 | MD039406E
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License Number State | PA
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