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General NPI Number Information
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NPI Number | 1811997851
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Entity Type | Individual
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Provider Name | JOHN JOSEPH TRAVERS JR. MD
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Gender | Male
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 950B N WYOMISSING BLVD
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City | WYOMISSING
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State | PA
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Zip | 19610-1783
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Country | US
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Telephone | 610-898-5280
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Fax | 610-375-1883
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Provider Business Mailing Address
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Address Line | PO BOX 13579
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City | READING
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State | PA
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Zip | 19612-3579
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD066464L
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License Number State | PA
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