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General NPI Number Information
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NPI Number | 1750406922
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Entity Type | Organization
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Legal Business Name | STANTON S. LEBOUITZ, M.D., P.C.
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 01/26/2011
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Provider Practice Location Address
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Address Line | 1936 POWDER MILL RD
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City | YORK
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State | PA
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Zip | 17402-4725
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Country | US
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Telephone | 717-741-0811
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Fax | 717-741-9499
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Provider Business Mailing Address
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Address Line | 1936 POWDER MILL RD
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City | YORK
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State | PA
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Zip | 17402-4725
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Country | US
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Telephone | 717-741-0811
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Fax | 717-741-9499
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. PEGGY ANN MCWILLIAMS
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Credential |
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Telephone | 717-741-0771
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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 | MD011092E
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License Number State | PA
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