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General NPI Number Information
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NPI Number | 1760787576
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Entity Type | Organization
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Legal Business Name | WELLSPAN SURGERY AND REHABILITATION HOSPITAL
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Dates
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Enumeration Date | 01/26/2011
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 55 MONUMENT RD WELLSPAN SURGERY AND REHABILITATION HOSPITAL-ACUTE CARE
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City | YORK
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State | PA
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Zip | 17403
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Country | US
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Telephone | 717-812-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 601 MEMORY LN
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City | YORK
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State | PA
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Zip | 17402-2231
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Country | US
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Telephone | 717-851-1405
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Fax |
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Authorized Official
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Title or Position | SR. VP AND CFO
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Name | LAURA BUCZKOWSKI
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Credential |
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Telephone | 410-442-3373
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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