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General NPI Number Information
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NPI Number | 1740335462
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Entity Type | Organization
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Legal Business Name | MID ATLANTIC SURGICAL SERVICES INC
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 10/22/2008
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Provider Practice Location Address
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Address Line | 217 HARRISBURG AVE SUITE 201
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City | LANCASTER
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State | PA
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Zip | 17603-2964
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Country | US
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Telephone | 717-295-5454
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Fax | 717-295-1585
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Provider Business Mailing Address
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Address Line | 217 HARRISBURG AVE SUITE 201
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City | LANCASTER
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State | PA
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Zip | 17603-2964
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Country | US
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Telephone | 717-295-5454
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Fax | 717-295-1585
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID L. NEWCOMER
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Credential | M.D.
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Telephone | 717-295-5454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD 017510-E
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License Number State | PA
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