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General NPI Number Information
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NPI Number | 1861442089
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Entity Type | Organization
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Legal Business Name | KAMBIC FAMILY MEDICINE, PC
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 06/02/2011
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Provider Practice Location Address
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Address Line | 483 N FRONT ST
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City | STEELTON
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State | PA
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Zip | 17113-2124
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Country | US
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Telephone | 717-939-4593
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Fax | 717-939-4668
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Provider Business Mailing Address
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Address Line | PO BOX 7649
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City | STEELTON
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State | PA
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Zip | 17113-0649
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Country | US
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Telephone | 717-939-4593
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Fax | 717-939-4668
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL M KAMBIC
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Credential | D.O.
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Telephone | 717-939-4593
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | VP004679B
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS005053L
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License Number State | PA
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