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General NPI Number Information
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NPI Number | 1891724662
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Entity Type | Organization
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Legal Business Name | BESTPRACTICES OF PENNSYLVANIA PC
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 06/28/2013
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Provider Practice Location Address
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Address Line | 777 RURAL AVE EMERGENCY DEPARTMENT
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City | WILLIAMSPORT
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State | PA
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Zip | 17701-3109
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Country | US
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Telephone | 570-321-1000
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Fax | 904-346-0113
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Provider Business Mailing Address
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Address Line | PO BOX 759018
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City | BALTIMORE
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State | MD
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Zip | 21275-0001
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Country | US
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Telephone | 570-321-0307
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Fax | 904-346-0113
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOM MAYER
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Credential | MD
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Telephone | 703-205-9790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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