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General NPI Number Information
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NPI Number | 1881740918
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Entity Type | Organization
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Legal Business Name | MID STATE MEDICAL INC
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 601 N FRONT ST
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City | PHILIPSBURG
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State | PA
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Zip | 16866-2303
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Country | US
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Telephone | 814-342-7399
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Fax | 814-342-5470
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Provider Business Mailing Address
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Address Line | 601 N FRONT ST
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City | PHILIPSBURG
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State | PA
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Zip | 16866-2303
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Country | US
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Telephone | 814-342-7399
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Fax | 814-342-5470
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | DR. LAWRENCE GLEN ADAMS
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Credential | MD
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Telephone | 814-342-7399
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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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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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