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General NPI Number Information
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NPI Number | 1790073963
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Entity Type | Organization
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Legal Business Name | LEHIGH VALLEY PHYSICIAN GROUP
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Dates
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Enumeration Date | 07/21/2011
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 1243 S CEDAR CREST BLVD SUITE 2200
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City | ALLENTOWN
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State | PA
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Zip | 18103-6268
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Country | US
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Telephone | 610-402-2500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1754
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City | ALLENTOWN
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State | PA
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Zip | 18105-1754
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Country | US
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Telephone | 484-884-4500
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Fax | 484-884-0699
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Authorized Official
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Title or Position | SR VP & CHIEF VALUE OFFICER
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Name | JENNIFER STEPHENS
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Credential |
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Telephone | 484-862-3152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number |
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State | PA
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