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General NPI Number Information
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NPI Number | 1750572707
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Entity Type | Organization
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Legal Business Name | SPECIALTY PHYSICIANS OF LVHN PC
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 2166 S 12TH ST
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City | ALLENTOWN
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State | PA
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Zip | 18103-8701
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Country | US
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Telephone | 610-969-0488
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Fax |
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Provider Business Mailing Address
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Address Line | 1650 VALLEY CENTER PKWY SUITE 100
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City | BETHLEHEM
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State | PA
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Zip | 18017-2344
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Country | US
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Telephone | 484-884-4436
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Fax | 484-884-4444
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Authorized Official
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Title or Position | PRESIDENT
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Name | FRANCIS ANTHONY SALERNO
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Credential |
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Telephone | 610-969-0488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State | PA
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