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General NPI Number Information
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NPI Number | 1669770004
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Entity Type | Organization
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Legal Business Name | WELLSPAN MEDICAL GROUP
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Dates
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Enumeration Date | 03/09/2011
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 2350 FREEDOM WAY STE 200
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City | YORK
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State | PA
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Zip | 17402-8200
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Country | US
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Telephone | 717-812-5120
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Fax | 717-741-3075
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Provider Business Mailing Address
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Address Line | 601 MEMORY LN STE B3
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City | YORK
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State | PA
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Zip | 17402-2231
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Country | US
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Telephone | 717-851-1405
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Fax |
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Authorized Official
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Title or Position | DIRECTOR & AO
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Name | JENNIFER SWEITZER
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Credential |
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Telephone | 717-851-6838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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