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General NPI Number Information
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NPI Number | 1821150244
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Entity Type | Organization
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Legal Business Name | REDCEDAR FAMILY PRACTICE, LLC
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 01/30/2008
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Provider Practice Location Address
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Address Line | 689 YORKTOWN RD
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City | LEWISBERRY
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State | PA
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Zip | 17339-9258
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Country | US
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Telephone | 717-932-4050
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Fax | 717-932-8072
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Provider Business Mailing Address
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Address Line | 689 YORKTOWN RD
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City | LEWISBERRY
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State | PA
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Zip | 17339-9258
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Country | US
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Telephone | 717-932-4050
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Fax | 717-932-8072
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. LAWRENCE G COX
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Credential | DO
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Telephone | 717-932-4050
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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 |
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License Number State |
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