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General NPI Number Information
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NPI Number | 1689039117
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Entity Type | Organization
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Legal Business Name | NORTH POINTE SUGERY CENTER LP
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Dates
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Enumeration Date | 12/29/2015
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Last Update Date | 12/29/2015
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Provider Practice Location Address
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Address Line | 170 NORTH POINTE BLVD
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City | LANCASTER
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State | PA
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Zip | 17601
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Country | US
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Telephone | 717-735-6650
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Fax |
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Provider Business Mailing Address
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Address Line | 1701 CORNWALL RD SUITE 100
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City | LEBANON
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State | PA
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Zip | 17042-7480
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Country | US
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Telephone | 717-277-7009
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MELISSA WEIK
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Credential | MHA, RN
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Telephone | 717-517-5032
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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 | 24451501
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License Number State | PA
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