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General NPI Number Information
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NPI Number | 1649860214
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Entity Type | Organization
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Legal Business Name | ST. LUKE'S PHYSICIAN GROUP, INC.
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Dates
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Enumeration Date | 01/19/2021
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Last Update Date | 01/19/2021
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Provider Practice Location Address
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Address Line | 670 LAWN AVE STE 4
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City | SELLERSVILLE
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State | PA
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Zip | 18960-1571
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Country | US
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Telephone | 215-257-0414
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Fax | 215-257-1740
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Provider Business Mailing Address
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Address Line | 77 S COMMERCE WAY
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City | BETHLEHEM
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State | PA
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Zip | 18017-8891
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Country | US
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Telephone | 484-526-2538
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Fax | 833-213-6428
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Authorized Official
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Title or Position | ENROLLMENT SPECIALIST
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Name | ELISHA AMEY
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Credential |
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Telephone | 484-526-2538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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