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General NPI Number Information
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NPI Number | 1952398125
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Entity Type | Organization
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Legal Business Name | SUSQUEHANNA VALLEY WOMEN'S HEALTH CARE, PC
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 694 GOOD DR SUITE 112
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City | LANCASTER
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State | PA
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Zip | 17601-2433
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Country | US
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Telephone | 717-397-8177
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Fax | 717-397-2426
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Provider Business Mailing Address
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Address Line | 694 GOOD DR SUITE 112
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City | LANCASTER
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State | PA
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Zip | 17601-2433
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Country | US
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Telephone | 717-397-8177
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Fax | 717-397-2426
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Authorized Official
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Title or Position | CEO
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Name | DAWN SNYDER
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Credential |
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Telephone | 717-553-5709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD032194E
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License Number State | PA
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