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General NPI Number Information
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NPI Number | 1790399533
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Entity Type | Organization
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Legal Business Name | LANCASTER GENERAL MEDICAL GROUP
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Dates
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Enumeration Date | 08/31/2020
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 802 NEW HOLLAND AVENUE SUITE 100
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City | LANCASTER
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State | PA
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Zip | 17602-2288
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Country | US
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Telephone | 717-544-1427
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Fax | 717-544-7771
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Provider Business Mailing Address
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Address Line | 555 N DUKE STREET ATN: MELISSA PAULIN
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City | LANCASTER
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State | PA
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Zip | 17604-3555
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Country | US
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Telephone | 717-544-7279
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Fax | 717-544-4296
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | GARY WELCH
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Credential |
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Telephone | 717-544-5658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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