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General NPI Number Information
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NPI Number | 1669647210
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Entity Type | Organization
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Legal Business Name | SAINT VINCENT ENDOSCOPY CENTER LLC
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Dates
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Enumeration Date | 04/24/2008
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Last Update Date | 11/23/2009
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Provider Practice Location Address
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Address Line | 2501 W 12TH ST SUITE 8
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City | ERIE
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State | PA
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Zip | 16505-4527
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Country | US
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Telephone | 215-589-9000
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Fax | 215-589-9030
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Provider Business Mailing Address
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Address Line | PO BOX 415357
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City | BOSTON
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State | MA
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Zip | 02241-5357
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Country | US
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Telephone | 215-589-9000
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Fax | 215-589-9030
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Authorized Official
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Title or Position | TREASURER
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Name | KAREN P SABLYAK
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Credential |
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Telephone | 215-589-9001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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