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General NPI Number Information
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NPI Number | 1700941796
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Entity Type | Organization
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Legal Business Name | SURGICAL SPECIALISTS OF YORK LTD
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 10/31/2016
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Provider Practice Location Address
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Address Line | 1777 5TH AVE
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City | YORK
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State | PA
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Zip | 17403-2632
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Country | US
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Telephone | 717-812-8871
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Fax | 717-812-8624
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Provider Business Mailing Address
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Address Line | 1777 5TH AVE
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City | YORK
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State | PA
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Zip | 17403-2632
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Country | US
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Telephone | 717-812-8871
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Fax | 717-812-8624
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTOPHER J EVANS
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Credential | DO
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Telephone | 717-812-8871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 0S009169L
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License Number State | PA
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