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General NPI Number Information
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NPI Number | 1871707026
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Entity Type | Organization
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Legal Business Name | ERIE HEART AND LUNG
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4002 SCHAPER AVE SUITE A
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City | ERIE
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State | PA
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Zip | 16508
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Country | US
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Telephone | 814-866-2311
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Fax | 814-866-2311
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Provider Business Mailing Address
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Address Line | 4002 SCHAPER AVE SUITE A
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City | ERIE
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State | PA
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Zip | 16508
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Country | US
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Telephone | 814-866-2311
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Fax | 814-866-2311
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Authorized Official
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Title or Position | OWNER PHYSICIAN
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Name | DR. WILLIAM ANTHONY ESPER
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Credential | DO
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Telephone | 814-866-2311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | PA
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