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General NPI Number Information
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NPI Number | 1669298907
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Entity Type | Organization
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Legal Business Name | KEYSTONE RURAL HEALTH CENTER
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 111 CHAMBERS HILL DR STE 200
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-7304
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Country | US
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Telephone | 717-709-7990
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Fax | 717-709-7991
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Provider Business Mailing Address
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Address Line | 111 CHAMBERS HILL DR STE 200
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-7304
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Country | US
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Telephone | 717-709-7922
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Fax | 717-263-2055
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | JOANNE COCHRAN
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Credential |
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Telephone | 717-709-7906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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Taxonomy #5
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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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