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General NPI Number Information
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NPI Number | 1952295362
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Entity Type | Organization
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Legal Business Name | ST LUKE'S PHYSICIAN GROUP INC
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 3456 BETHLEHEM PIKE FL 1
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City | SOUDERTON
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State | PA
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Zip | 18964-1051
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Country | US
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Telephone | 215-721-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 801 OSTRUM ST
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City | BETHLEHEM
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State | PA
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Zip | 18015-1000
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Country | US
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Telephone | 484-526-4000
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SUE CHIAVAROLI
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Credential |
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Telephone | 484-526-3569
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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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