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General NPI Number Information
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NPI Number | 1639349012
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Entity Type | Organization
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Legal Business Name | SAINT VINCENT HEALTH CENTER
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Dates
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Enumeration Date | 03/03/2008
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Last Update Date | 01/03/2020
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Provider Practice Location Address
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Address Line | 232 W 25TH ST
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City | ERIE
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State | PA
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Zip | 16544-0002
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Country | US
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Telephone | 814-452-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 232 W 25TH ST
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City | ERIE
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State | PA
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Zip | 16544-0002
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Country | US
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Telephone | 814-452-5000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | DR. CHRISTOPHER C CLARK
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Credential | DO, MHA
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Telephone | 814-452-5111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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