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General NPI Number Information
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NPI Number | 1629013164
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Entity Type | Organization
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Legal Business Name | CHAMBERSBURG ENDOSCOPY CENTER LLC
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 05/04/2009
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Provider Practice Location Address
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Address Line | 835 5TH AVE
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-4224
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Country | US
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Telephone | 717-217-4312
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Fax |
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Provider Business Mailing Address
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Address Line | 835 5TH AVE
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-4224
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Country | US
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Telephone | 717-217-4312
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Fax |
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Authorized Official
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Title or Position | CENTER DIRECTOR
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Name | JOYCE BURKHOLDER
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Credential | BSN, RN
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Telephone | 717-217-4328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0800X
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Taxonomy Name | Endoscopy Clinic/Center
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License Number |
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License Number State |
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