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General NPI Number Information
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NPI Number | 1942266028
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Entity Type | Organization
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Legal Business Name | SALLAVANTI & COTTER FAMILY MEDICINE LTD
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 01/14/2008
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Provider Practice Location Address
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Address Line | 2207 OREGON PIKE SUITE 202
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City | LANCASTER
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State | PA
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Zip | 17601-4606
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Country | US
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Telephone | 717-560-6470
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Fax | 717-560-6472
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Provider Business Mailing Address
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Address Line | 2207 OREGON PIKE SUITE 202
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City | LANCASTER
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State | PA
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Zip | 17601-4606
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Country | US
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Telephone | 717-560-6470
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Fax | 717-560-6472
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. COLLEEN HICKEY-GARBUTT
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Credential | RN
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Telephone | 717-560-6470
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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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