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General NPI Number Information
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NPI Number | 1801070784
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Entity Type | Organization
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Legal Business Name | EPHRATA COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 11/09/2010
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Provider Practice Location Address
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Address Line | 600 E PENN AVE SUITE B
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City | WERNERSVILLE
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State | PA
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Zip | 19565-1622
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Country | US
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Telephone | 610-898-8088
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Fax | 610-898-8184
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Provider Business Mailing Address
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Address Line | 1215 RIDGE AVE. SUITE 3
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City | EPHRATA
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State | PA
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Zip | 17522-9782
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Country | US
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Telephone | 717-335-0696
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Fax | 717-335-2332
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. STANLEY SAELLAM
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Credential |
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Telephone | 717-733-0405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 310301
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License Number State | PA
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