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General NPI Number Information
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NPI Number | 1992817514
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Entity Type | Organization
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Legal Business Name | NORTHERN LANCASTER COUNTY MEDICAL GROUP
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 03/11/2008
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Provider Practice Location Address
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Address Line | 171 CHAPEL VIEW DR
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City | REINHOLDS
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State | PA
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Zip | 17569-0119
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Country | US
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Telephone | 717-336-5824
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Fax | 717-336-5401
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Provider Business Mailing Address
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Address Line | PO BOX 398
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City | BROWNSTOWN
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State | PA
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Zip | 17508-0398
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Country | US
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Telephone | 717-859-2038
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Fax | 717-859-2803
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Authorized Official
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Title or Position | V P NLCMG
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Name | CYNTHIA MALIZIA
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Credential |
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Telephone | 717-738-2280
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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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