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General NPI Number Information
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NPI Number | 1740365097
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Entity Type | Organization
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Legal Business Name | UPMC WILLIAMSPORT
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 700 HIGH ST
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City | WILLIAMSPORT
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State | PA
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Zip | 17701-3198
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Country | US
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Telephone | 570-321-1000
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Fax | 570-326-8601
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Provider Business Mailing Address
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Address Line | 600 GRANT STREET, US STEEL TOWER, 59TH FLOOR C/O RENEE JOHNSON
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City | PITTSBURGH
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State | PA
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Zip | 15219-2740
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Country | US
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Telephone | 412-623-6303
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MR. ROGER YOST
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Credential |
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Telephone | 570-321-3175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 234601
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 234601
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License Number State | PA
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